Dirk Jon Derksen, MD
Family Medicine Physician · Appleton, WI
Dirk Jon Derksen, MD is a family medicine physician with a practice address in Appleton, Wisconsin, and NPI 1013902055, issued on Sep 15, 2005. Check the license (Wisconsin AD6655394, as entered in NPPES) on the Wisconsin Medical Examining Board; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Dirk Jon Derksen
- Credential
- MD
- Primary taxonomy
- Family Medicine Physician 207Q00000X
- License number
- AD6655394 WI
Self-reported in NPPES; status is on the state search - Practice location
- 10 Wagon Wheel Dr, Appleton, WI 54913
- Phone
- (920) 731-6374
- Enumerated
- Sep 15, 2005
- Record last updated
- Feb 17, 2009 (not updated in 17 years: call before relying on the address or phone)
- Medicaid ID
- 31145100 WI
- Entity
- Type 1 · individual
Verify Dirk Jon Derksen in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWisconsin Medical Examining Board
Search for license AD6655394Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
108 family medicine physician records list a practice address in Appleton
They are 108 of the 3,249 NPPES records with a practice address in Appleton, and 3,765 family medicine physician records in Wisconsin. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 108 in Appleton → All 3,765 in Wisconsin → Every provider in Appleton →
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- Emily Abeyta, MDWaukesha, WI1386905107
- Jeanette Abraham, MDWeston, WI1205895810
- Sarada Abraham, M.D.Oconomowoc, WI1962851972
- Kirsten Abramson, MDMadison, WI1417909979
- Alexandra Adams, MD PHDMadison, WI1184689291
- David AdamsMadison, WI1992986897
Common questions
What is Dirk Jon Derksen, MD's NPI number?
Dirk Jon Derksen, MD's National Provider Identifier (NPI) is 1013902055, issued on Sep 15, 2005. An NPI identifies a provider in billing; it is not a license.
Where is Dirk Jon Derksen, MD located?
The NPPES record lists a practice address at 10 Wagon Wheel Dr, Appleton, WI, 54913. Phone: (920) 731-6374. Providers update this record themselves, so call before visiting.
How can I verify Dirk Jon Derksen, MD's license?
NPPES lists Wisconsin license number AD6655394, as entered by the provider. Search the Wisconsin Medical Examining Board at https://dsps.wi.gov/Pages/BoardsCouncils/MEB/Default.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.