DEREK HENDERSON
NPI 1871038109
Physician Assistant in Everett, WA

Active since December 22, 2016PECOS EnrolledAccepts Medicare Assignment
3726 BROADWAY STE 201, EVERETT, WA 98201(425) 317-9119 Get Directions Write a Review

NPPES record last updated: February 19, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 19, 2021, May 7, 2018, Dec 22, 2016 (3 updates tracked since 2016).

About Derek Henderson NPPES

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

DEREK HENDERSON (NPI 1871038109) is an individual physician assistant in Everett, Washington, licensed in New Hampshire (1680) and active in the NPI registry since December 2016. He is enrolled in Medicare PECOS, is affiliated with Kittitas Valley Community Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1871038109
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameDEREK HENDERSON
Location Address3726 BROADWAY STE 201Everett, WA 98201-3788
Mailing Address3726 Broadway Ste 201Everett, WA 98201-3788 · (425) 317-9119
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateDecember 22, 2016
Last NPPES UpdateFebruary 19, 20213 updates tracked since enumeration
NPPES CertifiedFebruary 19, 2021
NPI 1871038109 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 NH · 1680
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.
3726 BROADWAY STE 201, Everett, WA 98201

Accepted 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

Derek Henderson 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 ID2163777350
PECOS Enrollment IDI20210224002710
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.

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.

Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Kittitas Valley Community Hospital

Critical Access Hospitals · Ellensburg, WA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501333
Location603 South ChestnutEllensburg, WA 98926 · Kittitas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
3726 BROADWAY STE 201
EVERETT, WA 98201
Physician Assistant
3726 BROADWAY STE 201
EVERETT, WA 98201
Physician Assistant
3726 BROADWAY STE 201
EVERETT, WA 98201
Orthopaedic Surgery (Hand Surgery)
3726 BROADWAY STE 201
EVERETT, WA 98201
Physician Assistant
3726 BROADWAY STE 201
EVERETT, WA 98201
Physician Assistant (Surgical)
3726 BROADWAY STE 201
EVERETT, WA 98201
Orthopaedic Surgery (Sports Medicine)
3726 BROADWAY STE 201
EVERETT, WA 98201
Occupational Therapy Assistant
3726 BROADWAY STE 201
EVERETT, WA 98201

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 Henderson's NPI number?

The NPI number for Derek Henderson is 1871038109. It was assigned to this individual provider in the NPPES registry on December 22, 2016.

Where is Derek Henderson located?

Derek Henderson practices at 3726 Broadway Ste 201, Everett, WA 98201. The listed phone number is (425) 317-9119.

What is Derek Henderson's specialty?

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

Is Derek Henderson enrolled in Medicare?

Yes. Derek Henderson 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 Derek Henderson accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Derek Henderson 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.

Is Derek Henderson affiliated with any hospitals?

According to CMS data, Derek Henderson is affiliated with Kittitas Valley Community Hospital.

When was this NPI record last updated?

The NPPES record for Derek Henderson was last updated on February 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.