1. Home
  2. Directory
  3. Washington
  4. Everett
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

DEREK MICHAEL WENGRYN MD
NPI 1497442495
Student in an Organized Health Care Education/Training Program in Everett, WA

Active since April 19, 2023PECOS Enrolled
1321 COLBY AVE STE B400, EVERETT, WA 98201(425) 297-5234 Get Directions Write a Review

NPPES record last updated: April 19, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Derek Michael Wengryn Md NPPES

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

DEREK MICHAEL WENGRYN MD (NPI 1497442495) is an individual student in an organized health care education/training program in Everett, Washington and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497442495
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDEREK MICHAEL WENGRYNCredential: MD
Location Address1321 COLBY AVE STE B400Everett, WA 98201-1665
Mailing Address1321 Colby Ave Ste B400Everett, WA 98201-1665 · (425) 297-5234
Phone(425) 297-5234
Sole ProprietorYes
Enumeration DateApril 19, 2023
NPPES CertifiedApril 19, 2023
✔ NPI 1497442495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1321 COLBY AVE STE B400, Everett, WA 98201
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Derek Michael Wengryn Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

SEAN KEKAIANIANI TERADA
Student in an Organized Health Care Education/Training Program
1321 COLBY AVE STE B400
EVERETT, WA 98201
Snohomish County (425) 297-5234
BROOKE NICHOLE WAKEMAN MD
Student in an Organized Health Care Education/Training Program
1321 COLBY AVE STE B400
EVERETT, WA 98201
Snohomish County (425) 297-5234
BRITISH FORT MD
Student in an Organized Health Care Education/Training Program
1321 COLBY AVE STE B400
EVERETT, WA 98201
Snohomish County (425) 297-5234
CALEB YOUNGHO KIM
Student in an Organized Health Care Education/Training Program
1321 COLBY AVE STE B400
EVERETT, WA 98201
Snohomish County (425) 297-5234
CAMERON RICHARDS DO
Student in an Organized Health Care Education/Training Program
1321 COLBY AVE STE B400
EVERETT, WA 98201
Snohomish County (425) 297-5234
KEVIN MICHAEL CHANG MD
Student in an Organized Health Care Education/Training Program
1321 COLBY AVE STE B400
EVERETT, WA 98201
Snohomish County (425) 297-5234
ABISHAK GOVINDARAJAN
Student in an Organized Health Care Education/Training Program
1321 COLBY AVE STE B400
EVERETT, WA 98201
Snohomish County (425) 297-5234
ANISA LE ROHILLA DO
Student in an Organized Health Care Education/Training Program
1321 COLBY AVE STE B400
EVERETT, WA 98201
Snohomish County (425) 297-5234

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 Wengryn's NPI number?

The NPI number for Derek Wengryn is 1497442495. It was assigned to this individual provider in the NPPES registry on April 19, 2023.

Where is Derek Wengryn located?

Derek Wengryn practices at 1321 Colby Ave Ste B400, Everett, WA 98201. The listed phone number is (425) 297-5234.

What is Derek Wengryn's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Derek Wengryn enrolled in Medicare?

Yes. Derek Wengryn is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Derek Wengryn was last updated on April 19, 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.