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

Mr. Carl Scott Dernell

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1962962258

Mr. Carl Scott Dernell is a Pathology in Milwaukee, Wisconsin. Graduated from University of Colorado School of Medicine, Denver in 2019, 7 years ago. Practices with Hennepin Healthcare System Inc, a 903-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
7
Trained at
University of Colorado School of Medicine, Denver
Licensed in
WI
In the registry since
2019
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Practice location Address checks out

9200 W Wisconsin Ave
Milwaukee, WI 53226-3522
Phone: (414) 805-6966
Fax: (414) 805-6980
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 75523 (WI)

Record details

NPI number1962962258
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 22, 2019
Last updated in NPPESMarch 22, 2024
Certification dateMarch 22, 2024
Mailing address9200 W Wisconsin Ave, Milwaukee, WI 53226-3522

Medicare enrollment

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

Medicare specialtyPATHOLOGY
Medical schoolUNIVERSITY OF COLORADO SCHOOL OF MEDICINE, DENVER
Graduated 2019 (7 years in practice)
Group practice Hennepin Healthcare System Inc — 903 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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