NPPES file of Aug 9, 2026

Olivia Anne Derryberry, PA-C

Physician Assistant · Oklahoma City, OK

Olivia Anne Derryberry, PA-C is a physician assistant with a practice address in Oklahoma City, Oklahoma, and NPI 1154124261, issued on Apr 1, 2025. Check the license (Oklahoma 5602, as entered in NPPES) with the Oklahoma board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1154124261
Name
Olivia Anne Derryberry
Credential
PA-C
Primary taxonomy
Physician Assistant 363A00000X
License number
5602 OK
Self-reported in NPPES; status is on the state search
Practice location
11101 Hefner Pointe Dr, Oklahoma City, OK 73120
Phone
(580) 223-0447
Enumerated
Apr 1, 2025
Record last updated
Aug 3, 2026
Medicare enrollment
Enrolled (PECOS I20250917000199); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 11101 Hefner Pointe Dr

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Jimmy Burrow, PHYSICAL THERAPISTPhysical Therapist1386881787
  2. Thanh Huynh, PHARMACISTPharmacist1295393833
  3. Steven Sacket, M.D.Family Medicine Physician1538196886
  4. Robert Stepp, MDFamily Medicine Physician1417917113

Verify Olivia Anne Derryberry in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Oklahoma board licenses this profession
    Search for license 5602
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Oklahoma license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Bills Medicare through one group practice

  1. Oklahoma City Gynecology And Obstetrics, LLCOklahoma City, OK

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Olivia Anne Derryberry among 1,870 physician assistant records in Oklahoma

Olivia Anne Derryberry, PA-C is one of 1,870 physician assistant records with a practice address in Oklahoma. 79% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2025, is newer than 94% of them.

  • NPI issued2025 · 94% of these records are older, 2% newer
  • In a Medicare fileYes · 79% of these records are
  • In the CMS Doctors and Clinicians fileYes · 67% of these records are
  • Graduated2025 · median 2017 among the 1,246 with a school on file
  • Record last updated2026 · 45% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a Oklahoma practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

673 physician assistant records list a practice address in Oklahoma City

They are 673 of the 22,359 NPPES records with a practice address in Oklahoma City, and 1,870 physician assistant records in Oklahoma.

The 8 physician assistant records with the nearest ZIP codes

  1. Devorah Archer-Webb, PAOklahoma City, OK 731201063468650
  2. Matthew Bertus, P.A.Oklahoma City, OK 731201093706368
  3. Ronda Bertus, PA-COklahoma City, OK 731201437100260
  4. Candice Breeden, PAOklahoma City, OK 731201598716730
  5. Francis Frost, PA-COklahoma City, OK 731201508943960
  6. Michelle Lapidus, P.A.-COklahoma City, OK 731201962508457
  7. Jose Medina, PAOklahoma City, OK 731201972643534
  8. Paula Montgomery, PHYSICIAN ASSOCIATEOklahoma City, OK 731201952382590

Common questions

What is Olivia Anne Derryberry, PA-C's NPI number?

Olivia Anne Derryberry, PA-C's National Provider Identifier (NPI) is 1154124261, issued on Apr 1, 2025. An NPI identifies a provider in billing; it is not a license.

Where is Olivia Anne Derryberry, PA-C located?

The NPPES record lists a practice address at 11101 Hefner Pointe Dr, Oklahoma City, OK, 73120. Phone: (580) 223-0447. Providers update this record themselves, so call before visiting.

How can I verify Olivia Anne Derryberry, PA-C's license?

NPPES lists Oklahoma license number 5602, as entered by the provider. Search the Oklahoma board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. 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.