Derick Duckworth
NPI 1972385300 · Registered Nurse · Appleton, WI
Enrolled with Medicare as Practitioner - Certified Registered Nurse Anesthetist (crna) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Derick Duckworth is a Registered Nurse provider in Appleton, WI (NPI 1972385300).
Provider details
- NPI number
- 1972385300
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 261171 (WI)
Specialties & taxonomies
Nursing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
- 2023-10-19
- Last updated
- 2023-10-19
- Certified
- 2023-10-19
Frequently asked questions
- What is Derick Duckworth's NPI number?
- Derick Duckworth's National Provider Identifier (NPI) is 1972385300, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Derick Duckworth's specialty?
- Derick Duckworth is listed in the NPPES registry with a primary specialty of Registered Nurse (Nursing Service Providers).
- Where is Derick Duckworth located?
- Derick Duckworth's practice location on file with NPPES is 3327 N Casaloma Dr Unit 197, Appleton, WI 54913-7963.
- What is Derick Duckworth's phone number?
- The practice phone number listed in the NPPES registry for Derick Duckworth is (360) 620-2644.
- Does Derick Duckworth accept Medicare?
- Derick Duckworth is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Derick Duckworth's NPI active?
- Yes — Derick Duckworth's NPI (1972385300) is active in the NPPES registry as of the last update on 2023-10-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.