Nicholas Derkowski, - Licensed Practical Nurse in Appleton, WI

Nicholas Derkowski, is a Licensed Practical Nurse based in Appleton, Wisconsin. Nicholas Derkowski is licensed to practice in Wisconsin (license number 323307) and his current practice location is 2255 W Pershing St, Appleton, Wisconsin. He can be reached at his office (for appointments etc.) via phone at (920) 509-2025.

NPI number for Nicholas Derkowski is 1912472242 and his current mailing address is 2255 W Pershing St, Appleton, Wisconsin. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1912472242.

Contact Information

Nicholas Derkowski,
2255 W Pershing St,
Appleton, WI 54914-6061
(920) 509-2025
Not Available



Provider's Profile

Full NameNicholas Derkowski
GenderMale
SpecialityLicensed Practical Nurse
Location2255 W Pershing St, Appleton, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1912472242
  • Provider Enumeration Date: 10/13/2018
  • Last Update Date: 10/13/2018

Medical Identifiers

Medical identifiers for Nicholas Derkowski such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912472242NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse 323307 (Wisconsin)Primary

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. Nicholas Derkowski is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Nicholas Derkowski,
2255 W Pershing St,
Appleton, WI 54914-6061

Ph: (920) 509-2025
Nicholas Derkowski,
2255 W Pershing St,
Appleton, WI 54914-6061

Ph: (920) 509-2025

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› Verified 5 days ago


Licensed Practical Nurse Nurses in Appleton, WI

Kristina Rickert,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 4500 N French Rd, Appleton, WI 54913
Phone: 920-422-1245    
Ashley Bessette, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 3301 N Ballard Rd, Suite B, Appleton, WI 54911
Phone: 920-733-4443    
Jenna Lee Funk, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1201 S Lee St, Appleton, WI 54915
Phone: 920-858-3302    
Mrs. Jennifer Rose Cronin, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 3301 N Ballard Rd, Appleton, WI 54911
Phone: 920-733-4443    Fax: 920-733-4796
Raquel Arenas-grube,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 414 N Division St, Appleton, WI 54911
Phone: 920-445-8811    
Natirra L Plair-holt,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 3301 N Ballard Rd Ste B, Appleton, WI 54911
Phone: 920-733-4443    Fax: 920-733-4796
Amy Marie Sackmann,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 10 Tri Park Way, Appleton, WI 54914
Phone: 920-831-0070    

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