Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Kirk Allen Deherder, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1871181875

Mr. Kirk Allen Deherder, FNP-BC is a Nurse Practitioner in Lake Orion, Michigan. Qualified in 2020, 6 years ago. Practices with Orion Family Physicians PC, an 11-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
6
Licensed in
MI
In the registry since
2021
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

1455 S Lapeer Rd Ste 100
Lake Orion, MI 48360-1468
Phone: (248) 693-3551
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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 4704327543 (MI)

Record details

NPI number1871181875
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedJanuary 5, 2021
Last updated in NPPESFebruary 23, 2022
Certification dateFebruary 12, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Orion Family Physicians Pc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Lake Orion