DERRICK MICHAEL JONES PA-C
NPI 1033759212
Physician Assistant - Medical in Portland, OR
About Derrick Michael Jones Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DERRICK MICHAEL JONES PA-C (NPI 1033759212) is an individual medical provider in Portland, Oregon, licensed in Oregon (PA196333) and active in the NPI registry since January 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Derrick Michael Jones Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PORTLAND, OR 97236
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Derrick Jones's NPI number?
The NPI number for Derrick Jones is 1033759212. It was assigned to this individual provider in the NPPES registry on January 15, 2020.
Where is Derrick Jones located?
Derrick Jones practices at 12710 SE Division St, Portland, OR 97236. The listed phone number is (503) 988-3601.
What is Derrick Jones's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Derrick Jones enrolled in Medicare?
Yes. Derrick Jones is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Derrick Jones was last updated on January 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Derrick Michael Jones, PA-C · NPI 1033759212
Medical physician in Portland, Oregon. Individual provider, active in the CMS NPPES registry since January 15, 2020.
## Identity
- **NPI:** 1033759212 (Entity type: Individual)
- **Enumerated:** January 15, 2020
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** PA196333 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 12710 SE DIVISION ST, Portland, OR 97236-3134
- **Phone:** (503) 988-3601
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** January 15, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1033759212) · Data from the CMS NPPES public registry.