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

Derek Glenn Brubaker

Individual provider Family Nurse Practitioner · NPI 1629680889

Derek Glenn Brubaker is a Nurse Practitioner in Lancaster, Pennsylvania. Qualified in 2020, 6 years ago. Practices with Lancaster General Hospital, a 518-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
6
Licensed in
PA
In the registry since
2020
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Practice location Address checks out

555 N Duke St
Lancaster, PA 17602-2250
Phone: (717) 544-4995
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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 SP022377 (PA)

Record details

NPI number1629680889
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 19, 2020
Last updated in NPPESNovember 27, 2023
Certification dateAugust 19, 2020
Mailing address539 W Walnut St, Lancaster, PA 17603-3337

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Lancaster General Hospital — 518 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Lancaster