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

Derek Henderson

Individual provider Physician Assistant · NPI 1871038109

Derek Henderson is a Physician Assistant in Everett, Washington. Qualified in 2016, 10 years ago. Practices with Kittitas County Public Hospital Dist 1, a 81-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in New Hampshire.

Years since qualifying
10
Licensed in
NH
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

3726 Broadway Ste 201
Everett, WA 98201-3788
Phone: (425) 317-9119
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 14989 Harvest Rd, Glencoe, MN 55336-7505 — (320) 293-9466
  • 1700 13th St, Everett, WA 98201-1689 — (425) 261-2000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1680 (NH)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1871038109
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 22, 2016
Last updated in NPPESFebruary 19, 2021
Certification dateFebruary 19, 2021
Mailing address3726 Broadway Ste 201, Everett, WA 98201-3788

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Kittitas County Public Hospital Dist 1 — 81 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Everett