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

Derek Fenton

Individual provider Family Nurse Practitioner · NPI 1245923424

Derek Fenton is a Nurse Practitioner in Ogdensburg, New York. Graduated from State University of Ny Upstate Medical University in 2023, 3 years ago. Practices with United Cerebral Palsy Association of the North Country Inc, a 34-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
3
Trained at
State University of Ny Upstate Medical University
Licensed in
NY
In the registry since
2023
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Practice location Address checks out

102 Ford St
Ogdensburg, NY 13669-1402
Phone: (315) 713-9350
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 351949 (NY)

Record details

NPI number1245923424
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 1, 2023
Last updated in NPPESJune 1, 2023
Certification dateJune 1, 2023
Mailing address102 Ford St, Ogdensburg, NY 13669-1402

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolSTATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated 2023 (3 years in practice)
Group practice United Cerebral Palsy Association Of The North Country Inc — 34 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Ogdensburg