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

Derk Lee Maniscalco, DNP

Individual provider Family Nurse Practitioner · NPI 1467764647

Derk Lee Maniscalco, DNP is a Nurse Practitioner in Vancouver, Washington. Qualified in 2010, 16 years ago. Practices with The Vancouver Clinic Inc Ps, a 580-clinician group and accepts Medicare assignment. Licensed in Oregon and Washington.

Years since qualifying
16
Licensed in
OR, WA
In the registry since
2010
Specialties on file
2
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.

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Practice location Address checks out

700 NE 87th Ave
Vancouver, WA 98664
Phone: (360) 397-3460
Fax: (360) 604-1761
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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 AP60147803 (WA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 201050075NP (OR)

Record details

NPI number1467764647
Entity typeIndividual (Type 1)
GenderMale
Credentials DNP
Sole proprietorNo
NPI enumeratedJuly 5, 2010
Last updated in NPPESOctober 29, 2019

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice The Vancouver Clinic Inc Ps — 580 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

Other providers in Vancouver