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SCOTT R DERENNE PA-C (PHYSICIAN ASSI
NPI 1851303622
Physician Assistant in Phoenix, AZ

Active since August 12, 2006
15225 S 15TH AVE, PHOENIX, AZ 85045(920) 737-4014(920) 288-8355 Get Directions Write a Review

NPPES record last updated: July 10, 2019. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Scott R Derenne Pa-c (physician Assi NPPES

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

SCOTT R DERENNE PA-C (PHYSICIAN ASSI (NPI 1851303622) is an individual physician assistant in Phoenix, Arizona, licensed in Wisconsin (913) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1851303622
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameSCOTT R DERENNECredential: PA-C (PHYSICIAN ASSI
Location Address15225 S 15TH AVEPhoenix, AZ 85045-1904
Mailing Address15225 S 15th AvePhoenix, AZ 85045-1904 · (920) 737-4014 · Fax (920) 288-8355
Phone(920) 737-4014
Fax(920) 288-8355
Sole ProprietorNo
Enumeration DateAugust 12, 2006
Last NPPES UpdateJuly 10, 2019
✔ NPI 1851303622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in WI · 913
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
15225 S 15TH AVE, Phoenix, AZ 85045
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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 Scott Derenne's NPI number?

The NPI number for Scott Derenne is 1851303622. It was assigned to this individual provider in the NPPES registry on August 12, 2006.

Where is Scott Derenne located?

Scott Derenne practices at 15225 S 15th Ave, Phoenix, AZ 85045. The listed phone number is (920) 737-4014.

What is Scott Derenne's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Scott Derenne was last updated on July 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.