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

Richard L Derrick, CRNA

Individual provider Registered Nurse · NPI 1649803172

Richard L Derrick, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Portland, Maine. Qualified in 2020, 6 years ago. Practices with Mary Washington Healthcare Specialty Services, LLC, a 137-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Florida, Utah and Virginia.

Years since qualifying
6
Licensed in
FL, UT, VA
In the registry since
2020
Specialties on file
3
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Practice location Address checks out

22 Bramhall St
Portland, ME 04102-3175
Phone: (207) 662-2526
Show map & directions

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

Additional practice locations (4)

  • 1380 E Medical Center Dr, St George, UT 84790-2123 — (801) 727-2056
  • 1201 Sam Perry Blvd Ste 101, Fredericksburg, VA 22401-4490 — (540) 741-7614
  • 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 — (540) 741-7614
  • 101 Hospital Center Blvd, Stafford, VA 22554-6200 — (540) 741-7614

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 9639260-4406 (UT)
Registered Nurse Taxonomy 163W00000X · Licence RN9469329 (FL)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 0024179084 (VA)

Record details

NPI number1649803172
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedFebruary 12, 2020
Last updated in NPPESDecember 18, 2024
Certification dateDecember 18, 2024

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Mary Washington Healthcare Specialty Services, Llc — 137 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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