Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Andrew John Deridder, NP

Individual provider Emergency Registered Nurse · NPI 1144009713

Andrew John Deridder, NP is a Nurse Practitioner in Indianapolis, Indiana. Qualified in 2024, 2 years ago. Practices with Iu Health Medical Group, LLC, a 4,351-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Indiana.

Years since qualifying
2
Licensed in
IN
In the registry since
2023
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

8111 S Emerson Ave
Indianapolis, IN 46237-8601
Phone: (317) 528-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 810 S 6th St, Monticello, IN 47960-8201 — (765) 448-8000

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 71015716A (IN)
Emergency Registered Nurse Taxonomy 163WE0003X · Licence 28267039A (IN)

Record details

NPI number1144009713
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedSeptember 25, 2023
Last updated in NPPESSeptember 27, 2024
Certification dateSeptember 27, 2024
Mailing address8111 S Emerson Ave, Indianapolis, IN 46237-8601

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Iu Health Medical Group, Llc — 4351 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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