Susan Kay Derrickson, NP-BC
NPI 1104691153ActiveIndividual· Nurse Practitioner· Goshen, IN
Nurse Practitioner (NP-BC) with Maple City Health Care Center Inc and 1 other group, practicing in Goshen, Indiana. Part D covered 197 prescriptions written in 2024, 82% of them generic. Insulet Corporation reported $17.88 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1104691153 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NP-BC |
| Sole proprietor | No |
| NPI issued | Nov 20, 2023 |
| Last updated in NPPES | Sep 9, 2026 |
| Certified by provider | Sep 9, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 71014637A | IN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (IN) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 197 · 295 30-day fills |
|---|---|
| Patients | 36 |
| Total drug cost | $25,765 |
| Generic share | 82% of claims |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical groups
- Maple City Health Care Center IncGoshen, IN · 29 clinicians
- Nephrology Physicians, LLCPlymouth, IN · 11 clinicians
Industry payments (Open Payments)
- 2025$17.88 · 1 payment from 1 company
- 2024$14.77 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Insulet Corporation | $17.88 | 1 |
What the 2025 payments were for
- Food and Beverage$17.88 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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