Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Kiwana N Derrick, RN, AGNP-C

Individual provider Nurse Practitioner · NPI 1871105320

Mrs. Kiwana N Derrick, RN, AGNP-C is a Nurse Practitioner in Shelbyville, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.

Licensed in
TN
In the registry since
2020
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

835 Union St
Shelbyville, TN 37160-2607
Phone: (931) 680-2300
Show map & directions

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APN0000028011 (TN)
Gerontology Registered Nurse Taxonomy 163WG0600X · Licence 196202 (TN)

Record details

NPI number1871105320
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN , AGNP-C
Sole proprietorYes
NPI enumeratedAugust 17, 2020
Last updated in NPPESMay 4, 2026
Certification dateMay 4, 2026

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients13
Services billed 64 a service is one billed item, such as a visit, a test or a procedure
Average patient age83

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

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