Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Mrs. Carole Anne Derucki, FNP-BC

Family Nurse Practitioner in Saint Joseph, MI · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1205809225

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Registry record

Entity type Individual (Type 1)

Name Mrs. Carole Anne Derucki

Credential FNP-BC

Sex Female

Practice address 2900 Lakeview Ave, Saint Joseph, MI, 49085

Phone (269) 932-7859

Fax (269) 932-7859

Enumeration date Feb 9, 2006

Last updated in NPPES Feb 29, 2024

Taxonomy & licenses

174400000X Specialist Other Service Providers · License 71002723A (IN) Secondary

363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 4704166108 (MI) Secondary

363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 71002723A (IN) Secondary

363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 4704166108 (MI) Primary

Other identifiers

Identifier	Type	State	Issuer
478536310	Medicaid	MI	-
200917690A	Medicaid	IN	-
000000723347	Other	IN	BCBS
200917690	Medicaid	IN	-
4704166108	Other	MI	MICHIGAN

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where does Carole Derucki practice?

The practice location on file with NPPES is in Saint Joseph, MI. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Carole Derucki?

The National Provider Identifier (NPI) for Carole Derucki is 1205809225, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-02-29.