MRS. ERIN LYNN DERCKS (NPI# 1710306196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710306196 |
| Entity Type | Individual |
| Full Name | MRS. ERIN LYNN DERCKS |
| Other Name | MISS ERIN LYNN VERBRUGGEN |
| Credential | APNP |
| Practice Address |
820 W Association Dr Appleton WI 54914-1495 |
| Mailing Address |
N3501 Twelve Corners Rd Appleton WI 54913-9747 |
| Practice Telephone | 9203804951 |
| Mailing Telephone | 9207402277 |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2017-03-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
5741-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
820 W ASSOCIATION DR |
| City | APPLETON |
| State | WI |
| Zip Code | 54914-1495 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518572429 | Claire Schuh | Social Worker | 3416 Association Ln, Appleton, WI 54914 | 2020-09-09 |
| 1568099729 | Access Elevator, Inc. | Contractor | 1314 W. College Ave, Appleton, WI 54914 | 2020-03-26 |
| 1124677885 | Sharon Darla Cornell | Technician | 3117 N. Mistwood Lane, Appleton, WI 54914 | 2019-09-05 |
| 1235647793 | Midwest Monitoring, LLC | Psychiatry & Neurology | 4321 W College Ave Ste 200, Appleton, WI 54914 | 2018-01-18 |
| 1356863252 | Uvanta Pharmacy LLC | Pharmacy | 1050 S Grider St, Suite C, Appleton, WI 54914 | 2017-07-12 |
| 1255860912 | Appleton Counseling Management LLC | Counselor | 477 S Nicolet Rd., Appleton, WI 54914 | 2017-06-07 |
| 1609269489 | Shane Scott Urban | Social Worker | 444 N. Westhill Blvd., Appleton, WI 54914 | 2015-03-18 |
| 1699184580 | Michelle Becker | Nurse Practitioner | 4435 West Lawrence St., Appleton, WI 54914 | 2014-08-05 |
| 1972857514 | Jean Flesch | Pharmacist | 1000 W. Northland Ave., Appleton, WI 54914 | 2012-11-05 |
| 1477845147 | Mallory Barbara Herrin | Counselor | 820 W. College Ave, Appleton, WI 54914 | 2011-05-12 |
| Find all providers in zip 54914 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790069599 | Michelle Manke | Nurse Practitioner | N9168 Cherry Meadow Dr, Appleton, WI 54915-4681 | 2011-09-28 |
| 1093018699 | Marcia Ann Smith | Nurse Practitioner | 4435 W Lawrence St, Appleton, WI 54914-4065 | 2010-12-21 |
| 1316989056 | Kay L Conradt | Nurse Practitioner | 2701 N Oneida St, Fox Valley Nephrology Partners Sc, Appleton, WI 54911 | 2006-06-10 |
| 1902458177 | Kelsey Gregory | Nurse Practitioner | 1506 S Oneida St, Appleton, WI 54915-1305 | 2019-07-09 |
| 1073022356 | Megan Elizabeth Galske | Nurse Practitioner | 820 E Grant St, Appleton, WI 54911-3483 | 2017-09-29 |
| 1982004420 | Amber Lee Carlsen | Nurse Practitioner | 2500 E Capitol Dr, Suite 700, Appleton, WI 54911-8735 | 2014-09-03 |
| 1417373952 | Jodi L Beggs | Nurse Practitioner | 1501 S Madison St, Surgery Department, Appleton, WI 54915-1846 | 2014-03-07 |
| 1619300027 | Trang Vo | Nurse Practitioner | 1818 N Meade St, Appleton, WI 54911-3454 | 2013-08-21 |
| 1619318714 | Deborah Ann Bartmann | Nurse Practitioner | 1501 S Madison St, Appleton, WI 54915-1846 | 2013-07-17 |
| 1962700286 | Sara M. Calmes | Nurse Practitioner | 1611 S Madison St, Appleton, WI 54915-1844 | 2011-03-10 |
| Find all providers in APPLETON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.