Derek Stibbens, ACNPC-AG is a medicare enrolled "Nurse Practitioner - Acute Care" in Guffey, Colorado. He graduated from nursing school in 2020 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Luminosity Handw Llc and his current practice location is
2304 County Road 102, Guffey, Colorado. You can reach out to his office (for appointments etc.) via phone at
(720) 490-8735.
Derek Stibbens is licensed to practice in Colorado (license number 0996374) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1386223394.
Provider's Profile
| Full Name | Derek Stibbens |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 5 Years |
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| Location | 2304 County Road 102, Guffey, Colorado |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Derek Stibbens graduated from nursing school in 2020
NPI Data:
- NPI Number: 1386223394
- Provider Enumeration Date: 04/06/2021
- Last Update Date: 04/06/2021
Medicare PECOS Information:
- PECOS PAC ID: 5092119917
- Enrollment ID: I20210813001253
Medical Identifiers
Medical identifiers for Derek Stibbens such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1386223394 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LA2100X | Nurse Practitioner - Acute Care | 0996374 (Colorado) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Luminosity Handw Llc | 1456717883 | 4 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Derek Stibbens allows following entities to bill medicare on his behalf.
| Entity Name | Luminosity H&w Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1003522798
PECOS PAC ID: 1456717883
Enrollment ID: O20230510000195 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Derek Stibbens is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Derek Stibbens, ACNPC-AG
Po Box 267,
Florissant, CO 80816-0267
Ph: (720) 490-8735 | Derek Stibbens, ACNPC-AG
2304 County Road 102,
Guffey, CO 80820
Ph: (720) 490-8735 |
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