Amanda Derby, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Raleigh, NC

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Amanda Derby, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Raleigh, North Carolina. She graduated from nursing school in 2016 and has 9 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Chs Anesthesia Services Group Inc and her current practice location is 4420 Lake Boone Trl, Raleigh, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 784-3100.

Amanda Derby is licensed to practice in North Carolina (license number 109837) 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 1043670201.

Contact Information

Amanda Derby, CRNA
4420 Lake Boone Trl,
Raleigh, NC 27607-7505
(919) 784-3100
Not Available

Map and Direction




Provider's Profile

Full NameAmanda Derby
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience9 Years
Location4420 Lake Boone Trl, Raleigh, North Carolina
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Amanda Derby graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1043670201
  • Provider Enumeration Date: 03/02/2016
  • Last Update Date: 07/01/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 9032403332
  • Enrollment ID: I20160809002950

Medical Identifiers

Medical identifiers for Amanda Derby such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043670201NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WC0200XRegistered Nurse - Critical Care Medicine 282890 (North Carolina)Secondary
367500000XNurse Anesthetist, Certified Registered 109837 (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Atrium Health University CityCharlotte, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Chs Anesthesia Services Group Inc5799007324633

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. Amanda Derby allows following entities to bill medicare on her behalf.
Entity NameAmerican Anesthesiology Of North Carolina Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053677195
PECOS PAC ID: 2961316450
Enrollment ID: O20031229000004
Entity NameNovant Health Rowan Medical Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508931544
PECOS PAC ID: 3375452519
Enrollment ID: O20040422001655
Entity NameEast Carolina Anesthesia Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205996519
PECOS PAC ID: 5092720813
Enrollment ID: O20060215000791
Entity NameChs Anesthesia Services Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346649415
PECOS PAC ID: 5799007324
Enrollment ID: O20141209001856

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. Amanda Derby 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 AddressPractice Location Address
Amanda Derby, CRNA
3100 Spring Forest Rd, Suite 130,
Raleigh, NC 27616-2880

Ph: (919) 882-0795		Amanda Derby, CRNA
4420 Lake Boone Trl,
Raleigh, NC 27607-7505

Ph: (919) 784-3100

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Raleigh, NC

Eric Linton,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 4420 Lake Boone Trl, Raleigh, NC 27607
Phone: 919-784-3100    
Brianne V Schreiber, DNP, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 4044 Barton Park Pl, Raleigh, NC 27613
Phone: 330-503-7009    
Carol Goodson, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 2308 Wesvill Ct, Raleigh, NC 27607
Phone: 919-781-4311    
Christopher Michael Lamers, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3000 New Bern Ave, Raleigh, NC 27610
Phone: 919-350-5645    
Donna Ransom, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 4420 Lake Boone Trl, Raleigh, NC 27607
Phone: 919-784-3034    
Douglas Sanks, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 3000 New Bern Ave, Raleigh, NC 27610
Phone: 919-350-5645    
Angela L Kinmann, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3000 New Bern Ave, Raleigh, NC 27610
Phone: 919-350-5645    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.