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

Susan A Derry, MD

Individual provider Emergency Medicine Physician · NPI 1023109030

Susan A Derry, MD is an Emergency Medicine in Olympia, Washington. Graduated from University of North Dakota School of Medicine in 2012, 14 years ago. Practices with Alegent Creighton Clinic, a 947-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho and Washington.

Years since qualifying
14
Trained at
University of North Dakota School of Medicine
Licensed in
ID, WA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

413 Lilly Rd NE MSDDH09
Olympia, WA 98506-5133
Phone: (360) 918-0119
Show map & directions

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

Additional practice locations (1)

  • 25 Jacobs Gulch Rd, Kellogg, ID 83837-2023 — (208) 625-4000

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence MD60547005 (WA)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 8161176 (ID)

Record details

NPI number1023109030
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 27, 2006
Last updated in NPPESOctober 11, 2024
Certification dateOctober 11, 2024
Mailing addressPo Box 5007, Lacey, WA 98509-5007

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice Alegent Creighton Clinic — 947 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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