Derek Versalle, DO
NPI 1669162616 · Student in an Organized Health Care Education/Training Program · Kalamazoo, MI
Enrolled with Medicare as Practitioner - Emergency Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Derek Versalle, DO is a Student in an Organized Health Care Education/Training Program provider in Kalamazoo, MI (NPI 1669162616).
Provider details
- NPI number
- 1669162616
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 5151016178 (MI)
Specialties & taxonomies
- Student in an Organized Health Care Education/Training ProgramPrimary390200000XLicense 5151016178 (MI)
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
- 2023-05-12
- Last updated
- 2023-05-23
- Certified
- 2023-05-23
Frequently asked questions
- What is Derek Versalle's NPI number?
- Derek Versalle's National Provider Identifier (NPI) is 1669162616, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Derek Versalle's specialty?
- Derek Versalle is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Derek Versalle located?
- Derek Versalle's practice location on file with NPPES is 1000 Oakland Dr, Kalamazoo, MI 49008-1284.
- What is Derek Versalle's phone number?
- The practice phone number listed in the NPPES registry for Derek Versalle is (269) 337-6600.
- Does Derek Versalle accept Medicare?
- Derek Versalle is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Derek Versalle's NPI active?
- Yes — Derek Versalle's NPI (1669162616) is active in the NPPES registry as of the last update on 2023-05-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.