Individual provider · Type 1 NPI

Derek Pechacek, FNP-C

Family Nurse Practitioner · O Fallon, IL

NPI number 1114356607 Active

Practice location

320 E Highway 50
O Fallon, IL 62269-2704

Fax (618) 624-3387

Mailing address

2804 Lakeside Dr
Columbia, IL 62236-2681

Other practice locations

  • 1300 N Market St, Sparta, IL 62286-1048 · (618) 443-4138

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X209-010889 (IL)

Family Nurse Practitioner: Definition to come...

12 other providers at this address

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About NPI 1114356607

Derek Pechacek, FNP-C's National Provider Identifier is 1114356607, issued on Nov 5, 2013. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in O Fallon, IL. The record was last updated on May 29, 2026.