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CAROL DERWACTER C.N.P. NPI 1619953924


NPI Information

NPI: 1619953924
Provider Name: CAROL DERWACTER, C.N.P.
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Organization: PRIMECARE OF SOUTHEASTERN OHIO, INC.

PECOS Registration: Yes

Address:
2945 MAPLE AVE
ZANESVILLE, OH
ZIP 43701
Phone: (740) 454-0196
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Carol Derwacter, C.N.P. is an adult health nurse practitioner in Zanesville, OH with 27 years of experience. Carol Derwacter, C.N.P. NPI is 1619953924. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2945 MAPLE AVE
ZANESVILLE, OH
ZIP 43701-753
Phone: (740) 454-0196
Fax: (740) 454-7834

The NPI 1619953924 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Urinalysis, manual test (HCPCS:81002)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)

The enumeration date for this NPI number is 12/19/2005 and was last updated on 8/19/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LA2200XNurse PractitionerAdult HealthNP04044OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1080146341OTHEROHIOMEDICARE RAILROAD
2DENP03501MEDICARE PIN
32043354MEDICAIDOHIO
49270903MEDICARE PIN
5DENP03501OTHERMEDICARE PTAN
60989499OTHEROHIOGROUP MEDICAID
7311413469060OTHEROHIOCARESOURCE PIN
8S84694MEDICARE UPIN
9CA1586OTHERGROUP MEDICARE RAILROAD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.