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

Derek Douglas Magnuson, PA-C

Individual provider Physician Assistant · NPI 1124115126

Derek Douglas Magnuson, PA-C is a Physician Assistant in Tampa, Florida. Qualified in 2001, 25 years ago. Practices with Adventhealth Primary Care Network Inc, a 410-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
25
Licensed in
FL
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

7550 N Dale Mabry Hwy
Tampa, FL 33614-3226
Phone: (813) 885-4706
Fax: (813) 885-9463
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA9101889 (FL)
Physician Assistant Taxonomy 363A00000X · Licence PA9101889 (FL)

Record details

NPI number1124115126
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 10, 2006
Last updated in NPPESJanuary 22, 2021
Certification dateJanuary 22, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Adventhealth Primary Care Network Inc — 410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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