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

Susan Kay Derrickson, NP-BC

Individual provider Nurse Practitioner · NPI 1104691153

Susan Kay Derrickson, NP-BC is a Nurse Practitioner in Goshen, Indiana. Qualified in 2021, 5 years ago. Practices with Maple City Health Care Center Inc, a 30-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
5
Licensed in
IN
In the registry since
2023
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Practice location Address checks out

213 Middlebury St
Goshen, IN 46528-2956
Phone: (574) 534-3300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 808 N 3rd St, Goshen, IN 46528-7100 — (574) 534-0088
  • 2606 Peddlers Village Rd Ste 210, Goshen, IN 46526-1004 — (574) 534-3300

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 71014637A (IN)

Record details

NPI number1104691153
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-BC
Sole proprietorNo
NPI enumeratedNovember 20, 2023
Last updated in NPPESMarch 10, 2026
Certification dateMarch 10, 2026

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 Maple City Health Care Center Inc — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Goshen