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

Derek Justice Jay

Individual provider Family Nurse Practitioner · NPI 1427819721

Derek Justice Jay is a Nurse Practitioner in New Bremen, Ohio. Qualified in 2024, 2 years ago. Practices with M E D F Physicians Corporation, a 47-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
2
Licensed in
OH
In the registry since
2024

Practice location Address checks out

03920 Southland Rd
New Bremen, OH 45869-9790
Phone: (419) 629-2772
Fax: (419) 629-3613
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 0036746 (OH)

Record details

NPI number1427819721
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 23, 2024
Last updated in NPPESJuly 22, 2024
Certification dateJuly 22, 2024

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 M E D F Physicians Corporation — 47 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in New Bremen