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DEIDRE HAMILTON PA-C
NPI 1912620808
Physician Assistant - Surgical in Clovis, CA

Active since September 26, 2022PECOS EnrolledAccepts Medicare Assignment
604 N MAGNOLIA AVE STE 100, CLOVIS, CA 93611(559) 320-0531(559) 320-0539 Get Directions Write a Review

NPPES record last updated: April 12, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 12, 2024, Jan 1, 2024, Sep 26, 2022 (3 updates tracked since 2022).

About Deidre Hamilton Pa-c NPPES

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

DEIDRE HAMILTON PA-C (NPI 1912620808) is an individual surgical provider in Clovis, California, licensed in California (63925) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS and is a graduate of Tufts University School Of Medicine (2023).

NPPES Registry Identity

NPI1912620808
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameDEIDRE HAMILTONCredential: PA-C
Location Address604 N MAGNOLIA AVE STE 100Clovis, CA 93611-9205
Mailing Address2625 E Divisadero StFresno, CA 93721-1431 · (559) 443-2682 · Fax (559) 443-2681
Phone(559) 320-0531
Fax(559) 320-0539
Sole ProprietorNo
Medical School CMSTufts University School Of MedicineGraduated 2023
Enumeration DateSeptember 26, 2022
Last NPPES UpdateApril 12, 20243 updates tracked since enumeration
NPPES CertifiedApril 12, 2024
✔ NPI 1912620808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in CA · 63925
Also ListedPhysician AssistantTaxonomy 363A00000X · License 63925 (CA)
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 63925 (CA)
604 N MAGNOLIA AVE STE 100, Clovis, CA 93611
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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

Deidre Hamilton Pa-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 ID143669101
PECOS Enrollment IDI20240424000000
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.

ARMEN MARTIROSIAN MD
Orthopaedic Surgery
604 N MAGNOLIA AVE STE 100
CLOVIS, CA 93611
Fresno County (559) 320-0531
ERIC MICHAEL LINDVALL D.O.
Orthopaedic Surgery (Orthopaedic Trauma)
604 N MAGNOLIA AVE STE 100
CLOVIS, CA 93611
Fresno County (559) 320-0531
CAROLINE THERESA URBANEK
Physician Assistant (Surgical)
604 N MAGNOLIA AVE STE 100
CLOVIS, CA 93611
Fresno County (559) 320-0531
SAMIA GHAFFAR MD INC
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
604 N MAGNOLIA AVE STE 100
CLOVIS, CA 93611
Fresno County (559) 246-5040
NATHAN A HOEKZEMA M.D.
Orthopaedic Surgery (Hand Surgery)
604 N MAGNOLIA AVE STE 100
CLOVIS, CA 93611
Fresno County (559) 320-0531
KAREN PELAYO PALMER NP
Nurse Practitioner
604 N MAGNOLIA AVE STE 100
CLOVIS, CA 93611
Fresno County (559) 320-0531
MICHAEL ZACHARY ALLEN DO
Orthopaedic Surgery (Orthopaedic Trauma)
604 N MAGNOLIA AVE STE 100
CLOVIS, CA 93611
Fresno County (559) 320-0531
LINDSAY RACHEL BRUSH
Physician Assistant (Surgical)
604 N MAGNOLIA AVE STE 100
CLOVIS, CA 93611
Fresno County (559) 320-0531

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 Deidre Hamilton's NPI number?

The NPI number for Deidre Hamilton is 1912620808. It was assigned to this individual provider in the NPPES registry on September 26, 2022.

Where is Deidre Hamilton located?

Deidre Hamilton practices at 604 N Magnolia Ave Ste 100, Clovis, CA 93611. The listed phone number is (559) 320-0531.

What is Deidre Hamilton's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Deidre Hamilton enrolled in Medicare?

Yes. Deidre Hamilton 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.

When was this NPI record last updated?

The NPPES record for Deidre Hamilton was last updated on April 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.