Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Olivia Anne Derryberry, PA-C

Individual provider Physician Assistant · NPI 1154124261

Olivia Anne Derryberry, PA-C is a Physician Assistant in Oklahoma City, Oklahoma. Qualified in 2025, 1 year ago. Practices with Oklahoma City Gynecology and Obstetrics, LLC, a 23-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
1
Licensed in
OK
In the registry since
2025
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

11101 Hefner Pointe Dr
Oklahoma City, OK 73120-0600
Phone: (580) 223-0447
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5602 (OK)

Record details

NPI number1154124261
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 1, 2025
Last updated in NPPESAugust 3, 2026
Certification dateAugust 3, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Oklahoma City Gynecology And Obstetrics, Llc — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Oklahoma City