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

Derek Smith, APRN-CNP

Individual provider Family Nurse Practitioner · NPI 1255981601

Derek Smith, APRN-CNP is a Nurse Practitioner in Ardmore, Oklahoma. Qualified in 2019, 7 years ago. Practices with Triad Complete Healthcare A12 LLC, a 3-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
7
Licensed in
OK
In the registry since
2019

Practice location Address checks out

1105 Michelin Rd
Ardmore, OK 73401-1085
Phone: (580) 224-8750
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 102505 (OK)

Record details

NPI number1255981601
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN-CNP
Sole proprietorNo
NPI enumeratedSeptember 18, 2019
Last updated in NPPESMarch 27, 2025
Certification dateMarch 27, 2025
Mailing address20 12th Ave Nw, Ardmore, OK 73401-5722

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Triad Complete Healthcare A12 Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Ardmore