Mrs. Carole Anne Derucki
FNP-BC | Nurse Practitioner | 20+ years Exp
2900 Lakeview Ave, Saint Joseph
Michigan, 49085-2379
269-932-7859
Mrs. Carole Anne Derucki is a Saint Joseph, Michigan based nurse practitioner with 20 years of experience in Nurse Practitioner. She completed her graduation in 2005. and . She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mrs. Carole Anne Derucki is 4704166108 for Family in Michigan. Her current practice location is 2900 Lakeview Ave, Saint Joseph. Patients can reach her at 269-932-7859 or can fax her at 269-932-7859. Mrs. Carole Anne Derucki is FNP-BC with specialization in Nurse Practitioner and her NPI number (Unique professional ID assigned by NPPES) is 1205809225.
Mrs. Carole Anne Derucki has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Mrs. Carole Anne Derucki speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Mrs. Carole Anne Derucki |
| Specialization: | Nurse Practitioner Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | FNP-BC |
| Experience: | 20+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2005 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 2900 Lakeview Ave, Saint Joseph,
Michigan, 49085-2379 |
| Phone: | 269-932-7859 |
| Fax: | 269-932-7859 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 4789609215 |
| Enrollment ID: | I20081010000222 |
| NPI Number: | 1205809225 |
| NPI Enumeration Date: | 09 Feb, 2006 |
| NPI Last Update On: | 29 Feb, 2024 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mrs. Carole Anne Derucki are as mentioned below.
| License Number | Specialization | State | Status | |
| 4704166108 | Family | Michigan | Primary | |
| 71002723A | Specialist | Indiana | Secondary | |
| 4704166108 | Nurse Practitioner | Michigan | Secondary | |
| 71002723A | Nurse Practitioner | Indiana | Secondary | |
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| (150012) | Mishawaka, IN | Acute Care Hospital |
| (150076) | Plymouth, IN | Acute Care Hospital |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Mrs. Carole Anne Derucki is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Saint Joseph Regional Medical Center Inc (8325950843) | 113 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Mrs. Carole Anne Derucki such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 478536310 | Medicaid | Michigan | |
| 200917690A | Medicaid | Indiana | |
| 000000723347 | Other | Indiana | BCBS |
| 200917690 | Medicaid | Indiana | |
| 4704166108 | Other | Michigan | MICHIGAN |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Mrs. Carole Anne Derucki
23448 Shurte St,
Cassopolis, Michigan |
| Zip: | 49031-9738 |
| Phone Number: | 574-993-1158 |
| Fax Number: | 269-408-4346 |
Patients can reach Mrs. Carole Anne Derucki at
2900 Lakeview Ave, Saint Joseph, Michigan or can
call to book an appointment on 269-932-7859.
Comments/ Reviews:
Patients can read all the reviews posted for Mrs. Carole Anne Derucki below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Mrs. Carole Anne Derucki. It will help others make informed decisions.
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.