Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Aaron J Derry, PAC

Individual provider Medical Physician Assistant · NPI 1093755886

Aaron J Derry, PAC is a Physician Assistant in Missoula, Montana. Qualified in 2004, 22 years ago. Practices with Providence Health and Services Mt, a 358-clinician group and accepts Medicare assignment. Licensed in Montana.

Years since qualifying
22
Licensed in
MT
In the registry since
2006
Specialties on file
3
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

500 W Broadway
Missoula, MT 59802-4008
Phone: (406) 721-5600
Fax: (406) 721-3907
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MED-PAC-LIC-402 (MT)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 402 (MT)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 402 (MT)

Record details

NPI number1093755886
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorYes
NPI enumeratedJune 8, 2006
Last updated in NPPESMay 24, 2021
Certification dateMay 11, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Providence Health And Services Mt — 358 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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