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

Individual provider Medical Physician Assistant · NPI 1043857196

Derek Hendrickson, PA-C is a Physician Assistant in Traverse City, Michigan. Qualified in 2019, 7 years ago. Practices with Midland Family Physicians PC, a 5-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
7
Licensed in
MI
In the registry since
2019
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

1200 Sixth St Ste 200
Traverse City, MI 49684-2369
Phone: (231) 935-5800
Fax: (231) 935-5799
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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 5601009719 (MI)

Record details

NPI number1043857196
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 9, 2019
Last updated in NPPESMarch 15, 2021
Certification dateMarch 15, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Midland Family Physicians Pc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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