What is Dirk Derksen's NPI number?

Dirk Derksen's National Provider Identifier (NPI) is 1013902055, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Dirk Derksen's specialty?

Dirk Derksen is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).

Where is Dirk Derksen located?

Dirk Derksen's practice location on file with NPPES is 10 Wagon Wheel Dr, Appleton, WI 54913-9782.

What is Dirk Derksen's phone number?

The practice phone number listed in the NPPES registry for Dirk Derksen is (920) 731-6374.

Is Dirk Derksen's NPI active?

Yes — Dirk Derksen's NPI (1013902055) is active in the NPPES registry as of the last update on 2009-02-17.

IndividualActive

Dirk Derksen, MD

NPI 1013902055 · Family Medicine Physician · Appleton, WI

Dirk Derksen, MD is a Family Medicine Physician provider in Appleton, WI (NPI 1013902055).

Provider details

NPI number: 1013902055
Entity type: Individual
Primary specialty: Family Medicine PhysicianAllopathic & Osteopathic Physicians
Credential: MD
Sex: Male
Sole proprietor: No
License: AD6655394 (WI)

Specialties & taxonomies

Family Medicine PhysicianPrimary207Q00000XLicense AD6655394 (WI)
Allopathic & Osteopathic Physicians

Profile Score

Detailed profile(91/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
20 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

10 Wagon Wheel Dr

Appleton, WI 54913-9782

Phone: (920) 731-6374

Street-level locationGet directions

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Mailing address