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

Mr. Derrick Wayne Scoggins, APRN

Individual provider Nurse Practitioner · NPI 1053980540

Mr. Derrick Wayne Scoggins, APRN is a Nurse Practitioner in Bowling Green, Kentucky. Qualified in 2021, 5 years ago. Practices with Graves Gilbert Clinic PLLC, a 217-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
5
Licensed in
KY
In the registry since
2021
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

201 Park St
Bowling Green, KY 42101-1708
Phone: (270) 783-3362
Fax: (270) 780-0472
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 3016140 (KY)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 3016140 (KY)

Record details

NPI number1053980540
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN
Sole proprietorNo
NPI enumeratedJune 21, 2021
Last updated in NPPESNovember 13, 2023
Certification dateNovember 13, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Graves Gilbert Clinic Pllc — 217 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Bowling Green