Jonelle R Derk, CRNP
Nurse Practitioner, Family in Harrisburg, PA. Individual provider (NPI-1).
Details
- NPI
- 1003487992
- Entity type
- Individual (NPI-1)
- Name
- Jonelle R Derk
- Credential
- CRNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 2, 2021
- Certification date
- Jul 14, 2023
- Last updated
- Jul 14, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | SP023959 | PA | Yes |
| 363L00000X | Nurse Practitioner | SP023959 | PA |
Practice location
111 S Front StHarrisburg, PA 17101-2010
Phone 717-782-3380 · Fax 717-782-5716
Mailing address
111 S Front StHarrisburg, PA 17101-2010
Phone 717-782-3380 · Fax 717-782-5716
Other practice locations
Harrisburg, PA 17110-3685
Phone 717-920-4400
Wormleysburg, PA 17043-1034
Phone 717-731-0101 · Fax 717-731-8359
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 155 Family Nurse Practitioner providers in Harrisburg · All 5,308 providers in Harrisburg
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