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DEREK BURYL HEMERICK PA-C
NPI 1255093647
Physician Assistant - Medical in Kirtland Afb, NM

Active since October 12, 2021
2050A 2ND ST NE, KIRTLAND AFB, NM 87108(505) 843-3200 Get Directions Write a Review

NPPES record last updated: March 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 27, 2023, Mar 24, 2023, Oct 12, 2021 (3 updates tracked since 2021).

About Derek Buryl Hemerick Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEREK BURYL HEMERICK PA-C (NPI 1255093647) is an individual medical provider in Kirtland Afb, New Mexico and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1255093647
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameDEREK BURYL HEMERICKCredential: PA-C
Location Address2050A 2ND ST NEKirtland Afb, NM 87108
Mailing Address2050a 2nd St SeKirtland, NM 87108 · (505) 846-3200
Phone(505) 843-3200
Sole ProprietorYes
Enumeration DateOctober 12, 2021
Last NPPES UpdateMarch 27, 20233 updates tracked since enumeration
NPPES CertifiedMarch 27, 2023
✔ NPI 1255093647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Also ListedMilitary Health Care ProviderTaxonomy 171000000X
2050A 2ND ST NE, Kirtland Afb, NM 87108
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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 Derek Hemerick's NPI number?

The NPI number for Derek Hemerick is 1255093647. It was assigned to this individual provider in the NPPES registry on October 12, 2021.

Where is Derek Hemerick located?

Derek Hemerick practices at 2050A 2nd St NE, Kirtland Afb, NM 87108. The listed phone number is (505) 843-3200.

What is Derek Hemerick's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Derek Hemerick was last updated on March 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.