Elizabeth Derose, MD
NPI 1265650667 · Child & Adolescent Psychiatry Physician · Grand Rapids, MI
Enrolled with Medicare as Practitioner - Psychiatry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Elizabeth Derose, MD is a Child & Adolescent Psychiatry Physician provider in Grand Rapids, MI (NPI 1265650667).
Provider details
- NPI number
- 1265650667
- Entity type
- Individual
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 4301106410 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 39 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Haloperidol Decanoate | 145 | 14 |
| Paliperidone Palmitatebrand: Invega Sustenna | 125 | 13 |
| Benztropine Mesylate | 98 | 13 |
| Trazodone Hcl | 78 | — |
| Olanzapine | 64 | — |
| Fluphenazine Decanoate | 55 | — |
| Gabapentin | 50 | — |
Practice location
Mailing address
Additional practice locations (1)
- 790 Fuller Ave NeGrand Rapids, MI 49503-1918Phone: (616) 336-3909Fax: (616) 336-8830
Registry dates
- Enumerated
- 2007-04-23
- Last updated
- 2023-09-28
- Certified
- 2023-09-28
Frequently asked questions
- What is Elizabeth Derose's NPI number?
- Elizabeth Derose's National Provider Identifier (NPI) is 1265650667, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Elizabeth Derose's specialty?
- Elizabeth Derose is listed in the NPPES registry with a primary specialty of Child & Adolescent Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Elizabeth Derose located?
- Elizabeth Derose's practice location on file with NPPES is 300 68th St Se, Grand Rapids, MI 49548-6927.
- What is Elizabeth Derose's phone number?
- The practice phone number listed in the NPPES registry for Elizabeth Derose is (616) 281-6372.
- Does Elizabeth Derose accept Medicare?
- Elizabeth Derose is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Elizabeth Derose's NPI active?
- Yes — Elizabeth Derose's NPI (1265650667) is active in the NPPES registry as of the last update on 2023-09-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.