NPI age
19 years
Enumerated 2006-09-01
● Active
Type 1 · Individual
MS. Susan M Derivas, CNP
Derivas is 1 of 68 nurse practitioner providers in Meridian and 1 of 374 in Idaho.
Primary specialty
Nurse Practitioner
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-02-07
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 374 active nurse practitioner providers in Idaho.
NPI age
19 years
↑ 15 yr above median (4 yr)
State licenses
1 state
13% of peers hold multiple states
Subspecialties
0
34% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-09Enumerated in NPPES
2006
2026
Where they practice
Practice location
4055 E Blueberry St
Meridian, ID 836428261
Mailing address
4055 E Blueberry St
Meridian, ID 836428261
Additional practice locations
1 secondary location on file with NPPES.
Location 2
5700 Harper Dr Ne Ste 210-4
Albuquerque, NM 871093573
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 | 208-775-7418 | SPRUCE HEALTH |
| 05 (ID) | 1032026 | |
| 01 (ID) | 5708247 | EVERNORTH |
| 01 | 932434 | AVAILITY ID |
| 01 | 0062-0104069 | UNITED HEALTHCARE SERVICES, PROVIDER NO. |
| 01 | 13961493 | CAQH PROVIDER ID |
| 01 | 909072 | CHANGE HEALTHCARE SUBMITTER ID |
| 01 | 1851493829 | CLOZAPINE REMS CERTIFIED |
| 01 | 396453 | MASTER BILLING ID (OSMIND) |
Practice context
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
Recently enumerated nearby: 6 new nurse practitioner providers have been added in Meridian in the last 180 days.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.