Shawn Derby
NPI 1972390649ActiveIndividual· Nurse Practitioner· Great Falls, MT
Nurse Practitioner in Great Falls, Montana, trained at University of South Alabama College of Medicine (class of 2025). Enrolled in Medicare as practitioner - nurse practitioner.
Overview
| NPI | 1972390649 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Apr 24, 2025 |
| Last updated in NPPES | Sep 4, 2025 |
| Certified by provider | Sep 4, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | NUR-APRN-LIC-266796 | MT |
| Registered Nurse | 163W00000X | RN-69776 | MT |
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 (MT) |
|---|
Education and affiliations
| Medical school | University of South Alabama College of Medicine |
|---|---|
| Graduation year | 2025 |
| Medicare specialty | Nurse Practitioner |
Medical group
- Benefis Hospitals IncGreat Falls, MT · 384 clinicians
Hospital affiliation
- Benefis Hospitals IncGreat Falls, MT
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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