DEREK PECHACEK FNP-C NPI 1114356607

NPI Information

  • NPI: 1114356607
  • Provider Name: DEREK PECHACEK, FNP-C
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 320 E HIGHWAY 50
    O FALLON, IL
    ZIP 62269
  • Phone: (618) 624-3368

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NPI Details

Derek Pechacek, FNP-C is a family nurse practitioner in O Fallon, IL with 17 years of experience. Derek Pechacek, FNP-C NPI is 1114356607. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

320 E HIGHWAY 50
O FALLON, IL
ZIP 62269-704
Phone: (618) 624-3368
Fax: (618) 624-3387

The NPI 1114356607 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Follow-up nursing facility visit per day, typically 15 minutes (HCPCS:99308)
  • Initial nursing facility visit per day, typically 35 minutes (HCPCS:99305)
  • Nursing facility discharge management, more than 30 minutes (HCPCS:99316)

The enumeration date for this NPI number is 11/5/2013 and was last updated on 11/5/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily209-010889ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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