Courtney Lynn Derbyshire, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71015349A Issued in IN

Practice address

3525 E Hanna Ave
Indianapolis, IN 46237-1230

Phone

(317) 788-4261

NPI assigned

Jun 4, 2024

Last updated

Mar 5, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lifespan Advanced Care LLCGroup PAC ID 7911484944, 15 clinicians

Proactive Clinical PartnersGroup PAC ID 8527315852, 32 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Riverview Health Hospital, Noblesville, IN, CCN 150059

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lifespan Advanced Care LLC

  • Gerontology Nurse Practitioner
  • Carmel, IN
  • NPI 1558238345
  Medicare reassignment Care Compare group NPD
• Proactive Clinical Partners

  • Gerontology Nurse Practitioner
  • Indianapolis, IN
  • NPI 1366934242
  Medicare reassignment Care Compare group NPD
• Proactive Clinical Partners - Aco

  • Geriatric Medicine (Internal Medicine) Physician
  • Indianapolis, IN
  • NPI 1821709031
  Medicare reassignment NPD
• Hospitalist Medicine Physicians of Mississippi-TCS, Inc.

  • Internal Medicine Physician
  • St Augustine, FL
  • NPI 1023866597

  IN

  Medicare reassignment

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Riverview Hospital

  • General Acute Care Hospital
  • Noblesville, IN
  • NPI 1700883717
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1717459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1942041892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11313 USA PKWY STE E148",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460379208",
            "telephone_number": "317-781-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 E HANNA AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462371230",
            "telephone_number": "317-788-4261"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Jh Walker Dr",
            "address_purpose": "LOCATION",
            "city": "Pendleton",
            "state": "IN",
            "postal_code": "460648730",
            "country_code": "US",
            "telephone_number": "765-778-7501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "205 Marine Dr",
            "address_purpose": "LOCATION",
            "city": "Anderson",
            "state": "IN",
            "postal_code": "460165937",
            "country_code": "US",
            "telephone_number": "765-649-4558",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "868 S Washington St",
            "address_purpose": "LOCATION",
            "city": "Morristown",
            "state": "IN",
            "postal_code": "461619633",
            "country_code": "US",
            "telephone_number": "765-763-6012",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "326 Country Club Dr",
            "address_purpose": "LOCATION",
            "city": "New Albany",
            "state": "IN",
            "postal_code": "471504618",
            "country_code": "US",
            "telephone_number": "812-948-1311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1667 Sheridan Rd",
            "address_purpose": "LOCATION",
            "city": "Noblesville",
            "state": "IN",
            "postal_code": "460628723",
            "country_code": "US",
            "telephone_number": "317-770-3400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1667 Sheridan Rd",
            "address_purpose": "LOCATION",
            "city": "Noblesville",
            "state": "IN",
            "postal_code": "460628723",
            "country_code": "US",
            "telephone_number": "317-770-3400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "937 Fry Rd",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "IN",
            "postal_code": "461421820",
            "country_code": "US",
            "telephone_number": "317-881-3535",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "621 S Sugar St",
            "address_purpose": "LOCATION",
            "city": "Brownstown",
            "state": "IN",
            "postal_code": "472202066",
            "country_code": "US",
            "telephone_number": "812-358-2504",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1250 W 146th St",
            "address_purpose": "LOCATION",
            "city": "Westfield",
            "state": "IN",
            "postal_code": "460749870",
            "country_code": "US",
            "telephone_number": "317-844-5050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1925 Reeves Rd",
            "address_purpose": "LOCATION",
            "city": "Plainfield",
            "state": "IN",
            "postal_code": "461685501",
            "country_code": "US",
            "telephone_number": "317-838-7070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "118 Medical Dr",
            "address_purpose": "LOCATION",
            "city": "Carmel",
            "state": "IN",
            "postal_code": "460323323",
            "country_code": "US",
            "telephone_number": "317-844-4211",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "625 E Water St",
            "address_purpose": "LOCATION",
            "city": "Pendleton",
            "state": "IN",
            "postal_code": "460648551",
            "country_code": "US",
            "telephone_number": "765-778-2384",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1380 E County Line Rd",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462270962",
            "country_code": "US",
            "telephone_number": "317-855-7050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3701 Hodgin Rd",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "IN",
            "postal_code": "473747443",
            "country_code": "US",
            "telephone_number": "765-939-3701",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3154 S State Road 135",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "IN",
            "postal_code": "461439609",
            "country_code": "US",
            "telephone_number": "317-535-3344",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "55 Willow St",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "IN",
            "postal_code": "474487013",
            "country_code": "US",
            "telephone_number": "812-988-6666",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11851 Cumberland Rd",
            "address_purpose": "LOCATION",
            "city": "Fishers",
            "state": "IN",
            "postal_code": "460378273",
            "country_code": "US",
            "telephone_number": "317-813-4444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1111 Church Ave",
            "address_purpose": "LOCATION",
            "city": "Jasper",
            "state": "IN",
            "postal_code": "475463761",
            "country_code": "US",
            "telephone_number": "812-634-7750",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "559 W Longest St",
            "address_purpose": "LOCATION",
            "city": "Paoli",
            "state": "IN",
            "postal_code": "474549670",
            "country_code": "US",
            "telephone_number": "812-723-2595",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "725 N Bell Trace Cir",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IN",
            "postal_code": "474084408",
            "country_code": "US",
            "telephone_number": "812-323-2858",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1701 McDowell Rd",
            "address_purpose": "LOCATION",
            "city": "Evansville",
            "state": "IN",
            "postal_code": "477125431",
            "country_code": "US",
            "telephone_number": "812-985-9955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DERBYSHIRE",
        "first_name": "COURTNEY",
        "middle_name": "LYNN",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-04",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71015349A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordyn Leigh Deppe, OTR
• Ashley Renee Deprez, LCSW
• Jennifer Depriest
• Natalie Deputy
• Noosha D Deravi
• Derek T. Sprunger, MD
• Jenna Deri, MSED
• Andrew John Deridder, NP
• Dermatology Associates of Indiana PC
• Dermatology Associates, P.C.

• Family Nurse Practitioner in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.