Samone Derks LLC
NPI 1215542733 · Community/Behavioral Health Agency · Marquette, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Samone Derks LLC is a Community/Behavioral Health Agency organization in Marquette, MI (NPI 1215542733).
Provider details
- NPI number
- 1215542733
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Samone Derks, Clinical Social Worker(906) 361-1386
Specialties & taxonomies
Agencies
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
Mailing address
Registry dates
- Enumerated
- 2020-09-11
- Last updated
- 2020-11-17
- Certified
- 2020-11-17
Frequently asked questions
- What is Samone Derks LLC's NPI number?
- Samone Derks LLC's National Provider Identifier (NPI) is 1215542733, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Samone Derks LLC?
- Samone Derks LLC is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Samone Derks LLC located?
- Samone Derks LLC's practice location on file with NPPES is 129 W Baraga Ave Ste F, Marquette, MI 49855-4761.
- What is Samone Derks LLC's phone number?
- The practice phone number listed in the NPPES registry for Samone Derks LLC is (906) 361-1386.
- Does Samone Derks LLC accept Medicare?
- Samone Derks LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Samone Derks LLC?
- The authorized official listed on Samone Derks LLC's NPPES record is Samone Derks, Clinical Social Worker. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Samone Derks LLC's NPI active?
- Yes — Samone Derks LLC's NPI (1215542733) is active in the NPPES registry as of the last update on 2020-11-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.