CAROLE ANNE DERUCKI FNP-BC
NPI 1205809225
Specialist in Cassopolis,


Quality Rating: 100 out of 100 score

NPI Status: Active since February 9, 2006

Contact Information

23448 Shurte St
Cassopolis,
Post Code: 49031
Phone: (574) 993-1158
Fax: (269) 408-4346

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Carole Anne Derucki Fnp-bc in Cassopolis - Specialist

Carole Anne Derucki Fnp-bc is a Specialist in Cassopolis, . Carole Anne Derucki Fnp-bc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Carole Anne Derucki Fnp-bc is 1205809225. The last update date is 2024-02-29.

Carole Anne Derucki Fnp-bc's current location address is 23448 Shurte St, Cassopolis, . You can contact this provider via phone number (574) 993-1158 and fax number (269) 408-4346. The mailing address for Carole Anne Derucki Fnp-bc is 23448 Shurte St, Cassopolis, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1205809225
Provider Name
CAROLE ANNE DERUCKI FNP-BC
Gender
Female
Entity Type
Individual
Location Address
23448 Shurte St, Cassopolis,
Location Phone
(574) 993-1158
Location Fax
(269) 408-4346
Mailing Address
2900 Lakeview Ave, Saint Joseph, Michigan(MI)
Mailing Phone
269-932-7859
Mailing Fax
269-932-7859
Enumeration Date
2006-02-09
Last Update Date
2024-02-29
Code Navigator

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner, Family

Taxonomy Code
363LF0000X
Type
-
License No.
4704166108
License State
Michigan (MI)
Taxonomy Description
-

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1 174400000X Specialist

Specialist

71002723A (Indiana)
2 363L00000X Nurse Practitioner

Nurse Practitioner

4704166108 (Michigan)
3 363L00000X Nurse Practitioner

Nurse Practitioner

71002723A (Indiana)

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
000000723347 Other (non-Medicare) (01) Indiana (IN) BCBS
200917690 MEDICAID (05) Indiana (IN)
200917690A MEDICAID (05) Indiana (IN)
4704166108 Other (non-Medicare) (01) Michigan (MI) Michigan
478536310 MEDICAID (05) Michigan (MI)

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1205809225
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22051601824
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 22051601824
2 + 2 + 0 + 5 + 1 + 6 + 0 + 1 + 8 + 2 + 4 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 5 5

The NPI number 1205809225 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1184627135 ALLEGAN COUNTY HEALTH DEPARTMENT
Organization
Public Health or Welfare 3255 122ND AVE
ALLEGAN, Michigan (MI)
269-267-5411
1003819004 MARY BERNONA STEVENS
Individual
Dentist, General Practice 1172 NIXON AVE NW
GRAND RAPIDS, Michigan (MI)
616-453-0644
1073516118 LIVINGSTON COUNTY TREASURER
LIVINGSTON COUNTY EMS
Organization
Ambulance, Land Transport 1911 TOOLEY RD
HOWELL, Michigan (MI)
517-546-6220
1134122245 MICHAEL I DANGOVIAN
Individual
Internal Medicine, Cardiovascular Disease 39242 DEQUINDRE RD
STERLING HGTS, Michigan (MI)
586-795-3600
1053314146 BIOTECH CLINICAL LABORATORIES INC
Organization
Clinical Medical Laboratory 25775 MEADOWBROOK RD
NOVI, Michigan (MI)
248-912-1700