DERRICK MICHAEL JONES PA-C
NPI 1033759212
Physician Assistant - Medical in Portland, OR

Active since January 15, 2020PECOS Enrolled
12710 SE DIVISION ST, PORTLAND, OR 97236(503) 988-3601 Get Directions Write a Review

NPPES record last updated: January 15, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Physician Assistant
  • Medical
  • PECOS Enrolled

About DERRICK JONES

This page provides the complete NPI Profile along with additional information for Derrick Jones, a primary care provider established in Portland, Oregon with a medical specialization in Physician Assistant, focusing in medical . The healthcare provider is registered in the NPI registry with number 1033759212 assigned on January 2020. The practitioner's primary taxonomy code is 363AM0700X with license number PA196333 (OR). The provider is registered as an individual and his NPI record was last updated 7 years ago.

NPI
1033759212 Verify this NPI
Provider Name
DERRICK MICHAEL JONES PA-C
Gender
Male
Entity Type
Individual
Location Address
12710 SE DIVISION ST PORTLAND, OR 97236
Location Phone
(503) 988-3601
Mailing Address
9701 SE JOHNSON CREEK BLVD APT B208 HAPPY VALLEY, OR 97086
Mailing Phone
(918) 859-7819
Is Sole Proprietor?
No
Enumeration Date
01-15-2020
Last Update Date
01-15-2020
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A primary care provider (PCP) like Derrick Jones sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Medical

Taxonomy Code
363AM0700X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
PA196333
License State
OR

Medicare Participation & PECOS Enrollment Status

Derrick Jones is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for DERRICK MICHAEL JONES PA-C

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Family Medicine
12710 SE DIVISION ST
PORTLAND, OR 97236
Nurse Practitioner (Pediatrics)
12710 SE DIVISION ST, MID COUNTY HEALTH CLINIC
PORTLAND, OR 97236
Dentist (General Practice)
12710 SE DIVISION ST
PORTLAND, OR 97236
Dentist
12710 SE DIVISION ST
PORTLAND, OR 97236
Dentist
12710 SE DIVISION ST
PORTLAND, OR 97236
Dentist (General Practice)
12710 SE DIVISION ST
PORTLAND, OR 97236
Dentist
12710 SE DIVISION ST
PORTLAND, OR 97236
Social Worker (Clinical)
12710 SE DIVISION ST
PORTLAND, OR 97236
Dentist
12710 SE DIVISION ST
PORTLAND, OR 97236
Social Worker (Clinical)
12710 SE DIVISION ST
PORTLAND, OR 97236
Dentist (General Practice)
12710 SE DIVISION ST
PORTLAND, OR 97236
Family Medicine
12710 SE DIVISION ST
PORTLAND, OR 97236
Nurse Practitioner
12710 SE DIVISION ST
PORTLAND, OR 97236
Nurse Practitioner (Family)
12710 SE DIVISION ST
PORTLAND, OR 97236
Family Medicine
12710 SE DIVISION ST
PORTLAND, OR 97236
Dental Hygienist
12710 SE DIVISION ST
PORTLAND, OR 97236
Dental Hygienist
12710 SE DIVISION ST
PORTLAND, OR 97236
Nurse Practitioner (Family)
12710 SE DIVISION ST
PORTLAND, OR 97236
Family Medicine
12710 SE DIVISION ST
PORTLAND, OR 97236
Nurse Practitioner (Family)
12710 SE DIVISION ST
PORTLAND, OR 97236

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033759212, enumerated as an "individual" on January 15, 2020.

The provider is located at 12710 SE DIVISION ST PORTLAND, OR 97236 and the phone number is (503) 988-3601.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.