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

Derek Simmons, NP

Individual provider Family Nurse Practitioner · NPI 1366821993

Derek Simmons, NP is a Nurse Practitioner in Portland, Oregon. Qualified in 2017, 9 years ago. Practices with University Professional Services, a 1,704-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon and Washington.

Years since qualifying
9
Licensed in
OR, WA
In the registry since
2015
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

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone: (503) 494-7551
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5000 N Willamette Blvd, Portland, OR 97203-5743 — (503) 943-7211

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 201707902NP-PP (OR)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence AP60790052 (WA)

Record details

NPI number1366821993
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedMay 28, 2015
Last updated in NPPESSeptember 6, 2023
Certification dateSeptember 6, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice University Professional Services — 1704 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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