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

Individual provider Physician Assistant · NPI 1841361102

Derek Hardie, PA-C is a Physician Assistant in Everett, Washington. Qualified in 2003, 23 years ago. Practices with Western Washington Medical Group Inc Ps, a 112-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
23
Licensed in
WA
In the registry since
2006
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

3927 Rucker Ave
Everett, WA 98201-4833
Phone: (425) 339-5447
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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 PA10004498 (WA)

Record details

NPI number1841361102
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedNovember 10, 2006
Last updated in NPPESMay 18, 2021
Certification dateMay 18, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Western Washington Medical Group Inc Ps — 112 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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