Derek Dicamillo, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

249881 Issued in AZ

Practice address

14631 N Cave Creek Rd
Phoenix, AZ 85022-4159

Phone

(623) 624-7425

Fax

(623) 624-7158

NPI assigned

Nov 9, 2020

Sex

Male

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 AZ

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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

• Senior Doc Arizona PC

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1700477627
  Medicare reassignment
• J M Geiss DO Apc

  • Family Medicine Physician
  • Santa Ana, CA
  • NPI 1063825289

  AZ

  Medicare reassignment
• Senior Doc Az Medical PC

  • Family Medicine Physician
  • Orange, CA
  • NPI 1790550895

  AZ

  Medicare reassignment
• Siren Medical PC

  • Geriatric Medicine (Family Medicine) Physician
  • Phoenix, AZ
  • NPI 1073148326
  NPD (past)

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

{
    "created_epoch": "1604880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771459200000",
    "number": "1972105542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14631 N CAVE CREEK RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850224159",
            "telephone_number": "623-624-7425",
            "fax_number": "623-624-7158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14631 N CAVE CREEK RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850224159",
            "telephone_number": "623-624-7425",
            "fax_number": "623-624-7158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICAMILLO",
        "first_name": "DEREK",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-09",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "249881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Hill Dibb, M.D.
• Derek Dibben, DNP, CRNA
• Melissa Dibble
• Linda A Diblasi, ARNP
• Haley N Dible, PA
• Jesika C Dicampli, NMD
• Deborah Rose Dicicco, FNP
• Cameron R Dick, MD
• Audrey Sue Dickan, M.D.
• Katherine Ariana Dicken

• Family Nurse Practitioner in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.