MR. DEREK M WEST ACNP-BC
NPI 1164756664
Nurse Practitioner - Acute Care in Evansville, IN
NPI Status: Active since September 30, 2009
Contact Information
520 MARY ST STE 520
EVANSVILLE, IN
ZIP 47710
Phone: (812) 424-8231
Fax: (812) 435-8794
- Individual
- Male
- Years of Experience 17
- Nurse Practitioner
- Acute Care
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About DEREK WEST
This page provides the complete NPI Profile along with additional information for Derek West, a provider established in Evansville, Indiana with a medical specialization in Nurse Practitioner, focusing in acute care and more than 17 years of experience. The healthcare provider is registered in the NPI registry with number 1164756664 assigned on September 2009. The practitioner's primary taxonomy code is 363LA2100X with license number 71003054A (IN). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1164756664
- Provider Name
- MR. DEREK M WEST ACNP-BC
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 520 MARY ST STE 520 EVANSVILLE, IN 47710
- Location Phone
- (812) 424-8231
- Location Fax
- (812) 435-8794
- Mailing Address
- 520 MARY ST STE 520 EVANSVILLE, IN 47710
- Mailing Phone
- (812) 424-8231
- Mailing Fax
- (812) 435-8794
- Medical School Name
- OTHER
- Graduation Year
- 2009
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-30-2009
- Last Update Date
- 03-05-2024
- Code Navigator
A nurse practitioner (NP) like Derek West is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Secondary Locations
- 801 Saint Marys Dr Ste 200E
Evansville, IN 47714
(812) 424-8231 - 4133 Gateway Blvd Ste 290
Newburgh, IN 47630
(812) 424-8231
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Acute Care
- Taxonomy Code
- 363LA2100X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 71003054A
- License State
- IN
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Essential 6500 HSA (+ Incentives) - HMO
- Anthem Bronze Essential 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Essential 9200 (+ Incentives) - HMO
- Anthem Bronze Essential 9200 Adult Dental/Vision (+ Incentives) - HMO
- Anthem Bronze Essential POS 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Essential POS 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Essential 1500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Gold Essential 2200 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Heart Healthy Bronze Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Heart Healthy Silver Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Bronze First 7500 $25 Generic Drugs - HMO
- Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Gold 1500 $15 Generic Drugs - HMO
- Gold 1500 $15 Generic Drugs Adult Vision & Fitness - HMO
- HDHP Preventive Silver 5500 $0 Select Drugs - HMO
- Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 with Rx Copay - HMO
- Silver 1 - HMO
- Silver 1 with Rx Copay and Adult Vision Services - HMO
- Silver 12 with first 4 free PCP or MH visits - HMO
- Silver 8 - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
7100101320 | MEDICAID (05) | KY | |
71003054A | OTHER (01) | IN | IN LICENSE |
200975230 | MEDICAID (05) | IN | |
000000637973 | OTHER (01) | IN | ANTHEM |
Medicare Participation & PECOS Enrollment Status
Derek West is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Derek West is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 5092854810
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20091207000657
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Follow-up hospital inpatient care per day, typically 15 minutes
Follow-up hospital inpatient care per day, typically 25 minutes
Follow-up hospital inpatient care per day, typically 35 minutes
Initial hospital inpatient care per day, typically 30 minutes
Initial hospital inpatient care per day, typically 50 minutes
Initial hospital inpatient care per day, typically 70 minutes
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
This service was performed 283 times for 155 patientsFollow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
This service was performed 34 times for 30 patientsFollow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
This service was performed 58 times for 52 patientsInitial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
This service was performed 15 times for 15 patientsInitial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
This service was performed 20 times for 20 patientsInitial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
This service was performed 153 times for 149 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $20.51 for a new patient copayment and $23.55 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 47710 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $82.04
- Minimum New Patient Price $53.07
- Maximum New Patient Price $161.76
- Average New Patient Copayment $20.51
- Minimum New Patient Copayment $13.26
- Maximum New Patient Copayment $40.44
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $94.22
- Minimum Established Patient Price $16.93
- Maximum Established Patient Price $132.22
- Average Established Patient Copayment $23.55
- Minimum Established Patient Copayment $4.23
- Maximum Established Patient Copayment $33.05
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Derek West is affiliated with the following medical facilities:
Hospital Name | Address | Phone | Hospital Type | Overall Rating |
---|---|---|---|---|
DEACONESS HOSPITAL INC | 600 MARY ST EVANSVILLE, IN 47710 | (812) 450-5000 | Acute Care Hospitals | |
ASCENSION ST VINCENT EVANSVILLE | 3700 WASHINGTON AVE EVANSVILLE, IN 47750 | (812) 485-4000 | Acute Care Hospitals |
Reviews for MR. DEREK M WEST ACNP-BC
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 1 | 6 | 4 | 7 | 5 | 6 | 6 | 6 | 4 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 1 | 12 | 4 | 14 | 5 | 12 | 6 | 12 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 1 + 1 + 2 + 4 + 1 + 4 + 5 + 1 + 2 + 6 + 1 + 2 + 24 = 56 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
60 - 56 = 4 | 4 |
The NPI number 1164756664 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1114428463 | JENNIFER L HAGAN CST Individual | Specialist/Technologist, Other (Surgical Technologist) | 520 MARY ST STE 520 EVANSVILLE, IN 47710 (812) 424-8231 |
1922346600 | LAURA M DEVERS CST, CSFA Individual | Specialist/Technologist, Other (Surgical Assistant) | 520 MARY ST STE 520 EVANSVILLE, IN 47710 (812) 424-8231 |
1164990560 | JASON D MILLER CST Individual | Specialist/Technologist, Other (Surgical Assistant) | 520 MARY ST STE 520 EVANSVILLE, IN 47710 (812) 424-8231 |
1992352165 | JACLYN N KISSEL CST Individual | Specialist/Technologist, Other (Surgical Technologist) | 520 MARY ST STE 520 EVANSVILLE, IN 47710 (812) 424-8231 |
1558918532 | CANDICE M TEAGUE CST Individual | Specialist/Technologist, Other (Surgical Technologist) | 520 MARY ST STE 520 EVANSVILLE, IN 47710 (812) 424-8231 |
1518602044 | SCHELLE R SHELBY CST Individual | Specialist/Technologist, Other | 520 MARY ST STE 520 EVANSVILLE, IN 47710 (812) 424-8231 |
1518966480 | DR. BRUCE A ADYE M.D. Individual | Surgery | 520 MARY ST STE 520 EVANSVILLE, IN 47710 (812) 424-8231 |
1407543317 | AIMEE N FARTHING CST Individual | Specialist/Technologist, Other (Surgical Assistant) | 520 MARY ST STE 520 EVANSVILLE, IN 47710 (812) 424-8231 |
1629640123 | MR. JESSE L KUHLENSCHMIDT AGACNP-BC Individual | Nurse Practitioner (Gerontology) | 520 MARY ST STE 520 EVANSVILLE, IN 47710 (812) 424-8231 |
1356940118 | MRS. JESSICA J ANDERSON AGACNP-BC Individual | Nurse Practitioner (Gerontology) | 520 MARY ST STE 520 EVANSVILLE, IN 47710 (812) 424-8231 |
1710429444 | AMBER L SOLLMAN CST Individual | Specialist/Technologist, Other (Surgical Assistant) | 520 MARY ST STE 520 EVANSVILLE, IN 47710 (812) 424-8231 |
1073542585 | DR. SAMIR K. GUPTA M.D. Individual | Surgery | 520 MARY ST STE 520 EVANSVILLE, IN 47710 (812) 424-8231 |
1083871511 | DR. ANTHONY DAVID KAISER M.D. Individual | Surgery | 520 MARY ST STE 520 EVANSVILLE, IN 47710 (812) 424-8231 |
1104494962 | MRS. RACHEL N BERTRAM FNP Individual | Nurse Practitioner (Family) | 520 MARY ST STE 520 EVANSVILLE, IN 47710 (812) 424-8231 |
1114926003 | DR. BRIAN W SCHYMIK M.D. Individual | Surgery | 520 MARY ST STE 520 EVANSVILLE, IN 47710 (812) 424-8231 |
1124027008 | DR. PRASAD V GADE M.D. Individual | Surgery (Vascular Surgery) | 520 MARY ST STE 520 EVANSVILLE, IN 47710 (812) 424-8231 |
1154615110 | MRS. BREAHA R WININGER ACNP-BC Individual | Nurse Practitioner (Acute Care) | 520 MARY ST STE 520 EVANSVILLE, IN 47710 (812) 424-8231 |
1174270540 | MS. MARISA ROCHELLE BIEHLE PHYSICIAN ASSISTANT Individual | Physician Assistant (Medical) | 520 MARY ST STE 520 EVANSVILLE, IN 47710 (812) 424-8231 |
1194170142 | DR. KATHARINE ANN LASHER M.D. Individual | Surgery | 520 MARY ST STE 520 EVANSVILLE, IN 47710 (812) 424-8231 |
1225042310 | DR. KRISTI KAY PECK M.D. Individual | Surgery | 520 MARY ST STE 520 EVANSVILLE, IN 47710 (812) 424-8231 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164756664, enumerated in the NPI registry as an "individual" on September 30, 2009
The provider is located at 520 Mary St Ste 520 Evansville, In 47710 and the phone number is (812) 424-8231
The provider's speciality is Nurse Practitioner with taxonomy code 363LA2100X with a focus in Acute Care
The provider has more than 17 years of experience.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, CareSource,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $82.04 with an average copayment of $20.51 for new patient appointments. Established patients should expect a typical charge of $94.22 and an average copayment of 23.55. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Follow-up hospital inpatient care per day, typically 15 minutes, Follow-up hospital inpatient care per day, typically 25 minutes, Follow-up hospital inpatient care per day, typically 35 minutes, Initial hospital inpatient care per day, typically 30 minutes, Initial hospital inpatient care per day, typically 50 minutes and Initial hospital inpatient care per day, typically 70 minutes.
The practitioner is affiliated to the following hospital(s): DEACONESS HOSPITAL INC and ASCENSION ST VINCENT EVANSVILLE. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on September 30, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.