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

Derek Tyler Summers

Individual provider Family Nurse Practitioner · NPI 1578027843

Derek Tyler Summers is a Nurse Practitioner in Louisville, Kentucky. Qualified in 2018, 8 years ago. Practices with Community Medical Associates Inc, a 1,365-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
8
Licensed in
KY
In the registry since
2019
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Practice location Address checks out

7926 Preston Hwy Ste 106
Louisville, KY 40219-3848
Phone: (502) 272-5253
Fax: (502) 272-5062
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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 3013096 (KY)

Record details

NPI number1578027843
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 30, 2019
Last updated in NPPESDecember 21, 2021
Certification dateDecember 21, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Community Medical Associates Inc — 1365 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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