Susan Kay Derrickson
NP-BC
Family Medicine
About Susan Kay Derrickson
Susan Kay Derrickson, NP-BC, is a female healthcare professional specializing in Family Medicine, registered under National Provider Identifier (NPI) number 1104691153. Susan Kay Derrickson received her medical education at OTHER, graduating in 2021.
Their primary practice is located at 213 MIDDLEBURY ST, Goshen, Indiana 46528. Patients can reach the office at (574) 534-3300. Susan Kay Derrickson is enrolled in Medicare and accepts Medicare patients, is authorized to order and refer Medicare services.
Susan Kay Derrickson has been NPI-registered since 2023.
Key Metrics
Practice Locations
1
Doctor Details
Identity & Credentials
- NPI Number
- 1104691153
- Entity Type
- Individual
- First Name
- Susan
- Last Name
- Derrickson
- Credential
- NP-BC
- Gender
- Female
- Medical School
- OTHER
- Graduation Year
- 2021
- Sole Proprietor
- No
- Status
- active
Primary Practice Location
- Address
- 213 MIDDLEBURY ST
- City
- Goshen
- State
- Indiana
- ZIP
- 46528-2956
- Country
- United States
- Phone
- (574) 534-3300
Specialty & Taxonomy
- Primary Specialty
- Family Medicine
- Classification
- Family Medicine
- Taxonomy Code
- 207Q00000X
NPI Registration
- Enumeration Date
- Last Updated
- Certification Date
Mailing Address
- Address
- 2024 MAPLEHURST AVE
- City
- MISHAWAKA
- State
- IN
- ZIP
- 465457006
Medicare Enrollment
- Medicare Enrolled
- Yes
- Can Order/Refer
- Yes
- Telehealth
- No
- Excluded
- No
Frequently Asked Questions
What is Susan Kay Derrickson's NPI number?
What does Susan Kay Derrickson specialize in?
Where is Susan Kay Derrickson located?
Does Susan Kay Derrickson accept Medicare?
Does Susan Kay Derrickson offer telehealth or virtual visits?
What is an NPI Number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Susan Kay Derrickson is 1104691153.