Kiwana N. Derrick, RN, AGNP-C
NPI 1871105320ActiveIndividual· Nurse Practitioner· Shelbyville, TN
Nurse Practitioner (RN, AGNP-C) in Shelbyville, Tennessee, licensed in TN, with an NPI issued in August 2020. Mostly services rather than prescriptions: Medicare paid $3,825 for 13 patients in 2024, with only 15 Part D claims.
Overview
| NPI | 1871105320 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RN, AGNP-C |
| Sole proprietor | Yes |
| NPI issued | Aug 17, 2020 |
| Last updated in NPPES | May 4, 2026 |
| Certified by provider | May 4, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | APN0000028011 | TN |
| Registered Nurse, Gerontology | 163WG0600X | 196202 | TN |
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 (AL); Practitioner - Nurse Practitioner (CO); Practitioner - Nurse Practitioner (TN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 13 |
|---|---|
| Services billed | 64 across 4 procedure codes |
| Paid by Medicare | $3,825 |
Part D prescriptions in 2024
| Prescriptions (claims) | 15 · 15 30-day fills |
|---|---|
| Total drug cost | $385.01 |
| Generic share | 100% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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