Derrick Evan Pickering, FNP-C, CNM is a medicare enrolled "Advanced Practice Midwife" in Mapleton, Utah. He graduated from nursing school in 2014 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. His current practice location is
724 S 1600 W Ste 200, Mapleton, Utah. You can reach out to his office (for appointments etc.) via phone at
(385) 448-0055.
Derrick Evan Pickering is licensed to practice in Utah (license number 7675886-4402) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1720497597.
Provider's Profile
| Full Name | Derrick Evan Pickering |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 12 Years |
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| Location | 724 S 1600 W Ste 200, Mapleton, Utah |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Derrick Evan Pickering graduated from nursing school in 2014
NPI Data:
- NPI Number: 1720497597
- Provider Enumeration Date: 08/06/2014
- Last Update Date: 09/27/2026
Medicare PECOS Information:
- PECOS PAC ID: 4688896616
- Enrollment ID: I20141106002110
Medical Identifiers
Medical identifiers for Derrick Evan Pickering such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1720497597 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 7675886-4405 (Utah) | Secondary |
| 367A00000X | Advanced Practice Midwife | 7675886-4402 (Utah) | Primary |
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. Derrick Evan Pickering allows following entities to bill medicare on his behalf.
| Entity Name | Premier Family Medical |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750725735
PECOS PAC ID: 7416197785
Enrollment ID: O20130710000079 |
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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. Derrick Evan Pickering 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 |
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Derrick Evan Pickering, FNP-C, CNM
724 S 1600 W Ste 200,
Mapleton, UT 84664-4349
Ph: (385) 448-0055 | Derrick Evan Pickering, FNP-C, CNM
724 S 1600 W Ste 200,
Mapleton, UT 84664-4349
Ph: (385) 448-0055 |
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