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

Mrs. Kathy Derrick, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1689082174

Mrs. Kathy Derrick, FNP-BC is a Nurse Practitioner in Gilbert, Arizona. Qualified in 2014, 12 years ago. Practices with Summit Medical Group Arizona LLC, a 153-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
12
Licensed in
IL
In the registry since
2014
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1760 E Pecos Rd Ste 102
Gilbert, AZ 85295-3201
Phone: (480) 690-8412
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209011668 (IL)

Record details

NPI number1689082174
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedJuly 28, 2014
Last updated in NPPESJanuary 20, 2026
Certification dateJanuary 20, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Summit Medical Group Arizona Llc — 153 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Gilbert