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

Anna Derevensky, PA

Individual provider Physician Assistant · NPI 1881570885

Anna Derevensky, PA is a Physician Assistant in Friday Harbor, Washington. Qualified in 2025, 1 year ago. Practices with Multicare Health System, a 2,302-clinician group and accepts Medicare assignment.

Years since qualifying
1
In the registry since
2025
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

445 Kilsburrow Rd
Friday Harbor, WA 98250-8867
Phone: (845) 467-9333
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1227629

Record details

NPI number1881570885
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedAugust 14, 2025
Last updated in NPPESAugust 14, 2025
Certification dateAugust 14, 2025
Mailing addressPo Box 87, Friday Harbor, WA 98250-0087

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Multicare Health System — 2302 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

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