Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1164421806 Individual Practitioner Female Practitioner

Dava J Derrick , CNP

Nurse Practitioner • Clayton, OH

Professional Overview & Biography Verified Profile Summary

Dava Derrick, CNP is a registered healthcare professional specializing in Nurse Practitioner in Clayton, OH. Practice services are available at 1250 NATIONAL RD under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, administration of influenza virus vaccine. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1250 National Rd
Suite 400

Clayton, OH 453159505

Telephone 9378365165
Fax 9378366709
Associated Practice Facility / Clinic
🏢 Dayton Pain Center Llc Facility NPI 1962663765

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Clayton, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.8 Yrs
Regional Practice Density
1 Specialists

Practicing in Clayton, OH (4294 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
49.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
50 42 $236.00 $118.94
99213 Established patient office or other outpatient visit, typically 15 minutes
24 23 $117.00 $58.63
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
23 23 $186.00 $95.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
17 16 $174.00 $89.85

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License OH NP06888

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
2372418 (OH)
Commercial Insurance / Payer ID Rr Medicare
P00186293 (OH)
Commercial Insurance / Payer ID Anthem
000000292814 (OH)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Joshua Pilkenton , NP-C

Nurse Practitioner - Family

NPI 1972043602

Nurse Practitioner (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active February 14, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location February 14, 2014

Registered at 1250 NATIONAL RD, SUITE 400, CLAYTON, OH 453159505 (Tel: 9378365165)

📍
Updated Business Mailing Address February 14, 2014

Registered at 1250 NATIONAL RD, SUITE 400, CLAYTON, OH 453159505 (Tel: 9378365165)

👤
Provider Name / Credentials Updated February 14, 2014

Recorded as DAVA DERRICK, CNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 14, 2014

Nurse Practitioner (License #NP06888 in OH)

🟢
Initial NPI Registration & Enumeration July 15, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1164421806
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 15, 2005
Last Update: February 14, 2014
Sole Proprietor: No

Mailing Address

1250 National Rd, Suite 400

Clayton, OH 453159505

Phone: 9378365165

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.