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

Donna Lynn Derose, APN

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1285168120

Donna Lynn Derose, APN is a Nurse Practitioner in Crystal Lake, Illinois. Qualified in 2016, 10 years ago. Practices with Main St Psychiatry SC, a 3-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
10
Licensed in
IL
In the registry since
2017
What do these letters mean?
APN — Advanced Practice Nurse
The umbrella title some states use for nurse practitioners and other advanced practice nurses.

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Practice location Address checks out

145 S Virginia St
Crystal Lake, IL 60014-7226
Phone: (815) 444-9999
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 209015563 (IL)

Record details

NPI number1285168120
Entity typeIndividual (Type 1)
GenderFemale
Credentials APN
Sole proprietorNo
NPI enumeratedApril 18, 2017
Last updated in NPPESApril 18, 2017

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Main St Psychiatry Sc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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