Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nicole Derose, CRNP

Individual provider Primary Care Nurse Practitioner · NPI 1922492735

Nicole Derose, CRNP is a Nurse Practitioner in Wynnewood, Pennsylvania. Qualified in 2014, 12 years ago. Practices with Methodist Associates in Healthcare, Inc, a 391-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
12
Licensed in
PA
In the registry since
2015
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

100 E Lancaster Ave Ste 230
Wynnewood, PA 19096-3450 Not confirmed with CMS for 11 years — call before visiting
Phone: (610) 642-3796
Fax: (610) 642-2943
Show map & directions

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

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence SP014550 (PA)

Record details

NPI number1922492735
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedMarch 19, 2015
Last updated in NPPESMarch 19, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Methodist Associates In Healthcare, Inc — 391 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Wynnewood