MR. DEREK STORCK FNP-BC NPI 1396282448

NPI Information

  • NPI: 1396282448
  • Provider Name: MR. DEREK STORCK, FNP-BC
  • Classification: Nurse Practitioner - 363LP2300X
  • Specialization: Primary Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 42348 MALBECK DR
    STERLING HEIGHTS, MI
    ZIP 48314
  • Phone: (618) 910-0465

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NPI Details

MR. Derek Storck, FNP-BC is a primary care nurse practitioner in Sterling Heights, MI with 10 years of experience. MR. Derek Storck, FNP-BC NPI is 1396282448. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2016

The provider's business location address is:

42348 MALBECK DR
STERLING HEIGHTS, MI
ZIP 48314-043
Phone: (618) 910-0465

The NPI 1396282448 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 enumeration date for this NPI number is 1/27/2017 and was last updated on 11/27/2019.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily4704322025MICHIGANNo
2363LP2300XNurse PractitionerPrimary Care209016175ILLINOISYes

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: 11/21/2025

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