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DR. MITCHELL EUGENE DERRICK D.C.
NPI 1265527154
Chiropractor in Olympia, WA

Active since October 04, 2006Accepts Medicare Assignment
3535 MARTIN WAY E., OLYMPIA, WA 98506(360) 438-6425(360) 923-9382 Get Directions Write a Review

NPPES record last updated: October 15, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mitchell Eugene Derrick D.c. NPPES

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

DR. MITCHELL EUGENE DERRICK D.C. (NPI 1265527154) is an individual chiropractor in Olympia, Washington, licensed in Washington (CH0003132) and active in the NPI registry since October 2006. He is a graduate of Life Chiropractic College - West (1995).

NPPES Registry Identity

NPI1265527154
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. MITCHELL EUGENE DERRICKCredential: D.C.
Location Address3535 MARTIN WAY E.Olympia, WA 98506
Mailing Address3535 Martin Way E.Olympia, WA 98506 · (360) 438-6425 · Fax (360) 923-9382
Phone(360) 438-6425
Fax(360) 923-9382
Sole ProprietorNo
Medical School CMSLife Chiropractic College - WestGraduated 1995
Enumeration DateOctober 4, 2006
Last NPPES UpdateOctober 15, 2008
✔ NPI 1265527154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in WA · CH0003132
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
3535 MARTIN WAY E., Olympia, WA 98506
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Other Identifiers 6

Medicaid2022028WA
Medicare ID-Type UnspecifiedG115000627WA · Medicare
Other91-2132905WA · Premera/blue Cross
OtherDE3088Regence/blue Shield
Other101194/164269WA · Depart. Of Li
Medicare UPINU57458WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

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

Dr. Mitchell Eugene Derrick D.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.

PECOS PAC ID8921130030
PECOS Enrollment IDI20100724000018

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 5 spinal regions 98942
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's alignment. In a 5 spinal region treatment, the chiropractor applies controlled force to specific areas in your neck, mid-back, lower back, and both sides of your pelvis.
322 services55 patients

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 Mitchell Derrick's NPI number?

The NPI number for Mitchell Derrick is 1265527154. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is Mitchell Derrick located?

Mitchell Derrick practices at 3535 Martin Way E., Olympia, WA 98506. The listed phone number is (360) 438-6425.

What is Mitchell Derrick's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Mitchell Derrick enrolled in Medicare?

Yes. Mitchell Derrick 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.

What insurance does Mitchell Derrick accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Mitchell Derrick as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mitchell Derrick was last updated on October 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.