Ms. Susan M Derivas
CNP | Nurse Practitioner - Psych/Mental Health
4055 E Blueberry St, Meridian
Idaho, 83642-8261
208-775-7418
Ms. Susan M Derivas is a Meridian, Idaho based nurse practitioner who is specialized as Psych/Mental Health nurse. Active license number of Ms. Susan M Derivas is 64266 for Psych/Mental Health in Idaho. Her current practice location is 4055 E Blueberry St, Meridian. Patients can reach her at 208-775-7418 or can fax her at 208-647-5008. Ms. Susan M Derivas is CNP with specialization in Psych/Mental Health and her NPI number (Unique professional ID assigned by NPPES) is 1851493829.
Ms. Susan M Derivas provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Ms. Susan M Derivas speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Ms. Susan M Derivas |
| Specialization: | Psych/Mental Health Nurse Practitioner (PMHNP) |
| Gender: | Female |
| Credentials: | CNP |
| Practice Address: | 4055 E Blueberry St, Meridian,
Idaho, 83642-8261 |
| Phone: | 208-775-7418 |
| Fax: | 208-647-5008 |
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.
| NPI Number: | 1851493829 |
| NPI Enumeration Date: | 01 Sep, 2006 |
| NPI Last Update On: | 07 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 Ms. Susan M Derivas are as mentioned below.
| License Number | Specialization | State | Status | |
| 64266 | Psych/Mental Health | Idaho | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Ms. Susan M Derivas such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 208-775-7418 | Other | | SPRUCE HEALTH |
| 1032026 | Medicaid | Idaho | |
| 5708247 | Other | Idaho | EVERNORTH |
| 932434 | Other | | AVAILITY ID |
| 0062-0104069 | Other | | UNITED HEALTHCARE SERVICES, PROVIDER NO. |
| 13961493 | Other | | CAQH PROVIDER ID |
| 909072 | Other | | CHANGE HEALTHCARE SUBMITTER ID |
| 1851493829 | Other | | CLOZAPINE REMS CERTIFIED |
| 396453 | Other | | MASTER BILLING ID (OSMIND) |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Ms. Susan M Derivas
4055 E Blueberry St,
Meridian, Idaho |
| Zip: | 83642-8261 |
| Phone Number: | 208-775-7418 |
| Fax Number: | 208-674-5008 |
Patients can reach Ms. Susan M Derivas at
4055 E Blueberry St, Meridian, Idaho or can
call to book an appointment on 208-775-7418.
Comments/ Reviews:
Patients can read all the reviews posted for Ms. Susan M Derivas below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Ms. Susan M Derivas. 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.