Mrs Kelly Nicole Derwick, RDN, LN in Cape Coral, FL - Medicare Registered Dietitian Or Nutrition Professional Provider

Mrs Kelly Nicole Derwick, RDN, LN is a medicare enrolled "Dietitian, Registered" provider in Cape Coral, Florida. She graduated from medical school in 2019 and has 7 years of diverse experience with area of expertise as Registered Dietitian Or Nutrition Professional. She is a member of the group practice Florida Kidney Physicians Llc and her current practice location is 119 Se 39th St, Cape Coral, Florida. You can reach out to her office (for appointments etc.) via phone at (239) 910-3871.

Mrs Kelly Nicole Derwick is licensed to practice in Florida (license number 10167) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1033715727.

Contact Information

	Mrs Kelly Nicole Derwick, RDN, LN
	119 Se 39th St, Cape Coral, FL 33904
	(239) 910-3871
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Kelly Nicole Derwick
Gender	Female
Speciality	Registered Dietitian Or Nutrition Professional
Experience	7 Years
Location	119 Se 39th St, Cape Coral, Florida
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Kelly Nicole Derwick graduated from medical school in 2019

NPI Data:

NPI Number: 1033715727
Provider Enumeration Date: 12/08/2020
Last Update Date: 05/04/2026

Medicare PECOS Information:

PECOS PAC ID: 0840739462
Enrollment ID: I20240827004559

Medical Identifiers

Medical identifiers for Mrs Kelly Nicole Derwick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033715727	NPI	-	NPPES
10167	Other	FL	FLORIDA DEPARTMENT OF HEALTH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	10167 (Florida)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Florida Kidney Physicians Llc	4385925650	166

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Kelly Nicole Derwick allows following entities to bill medicare on her behalf.

Provider Name	Florida Kidney Physicians Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1760831564 PECOS PAC ID: 4385925650 Enrollment ID: O20161228000460

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Kelly Nicole Derwick is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Kelly Nicole Derwick, RDN, LN 119 Se 39th St, Cape Coral, FL 33904-8338 Ph: (239) 910-3871	Mrs Kelly Nicole Derwick, RDN, LN 119 Se 39th St, Cape Coral, FL 33904 Ph: (239) 910-3871

Reviews and Comments

Dietitian, Registered in Cape Coral, FL

Kara Marie Odiaga Velez, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2707 Se 4th Ave, Cape Coral, FL 33904 Phone: 971-276-8540
Alyssa Tyler, M.S., R.D., L.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2546 Heydon Ln, Cape Coral, FL 33991 Phone: 440-781-6408
Proactive Plates Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 119 Se 39th St, Cape Coral, FL 33904 Phone: 239-284-4906
Brittany Chambers, RDN, LDN, CPT Dietitian Medicare: Accepting Medicare Assignments Practice Location: 501 Del Prado Blvd S, Cape Coral, FL 33990 Phone: 630-779-7610
Amber Martinez, RD Dietitian Medicare: May Accept Medicare Assignments Practice Location: 501 Del Prado Blvd S, Cape Coral, FL 33990 Phone: 239-468-2085
Cassidy Rose Neubaum, MS, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 501 Del Prado Blvd S, Cape Coral, FL 33990 Phone: 239-424-3120

Mrs Kelly Nicole Derwick, RDN, LN - Medicare Dietitian in Cape Coral, FL