IndividualActive
Derek Hemerick, PA-C
NPI 1255093647 · Medical Physician Assistant · Kirtland Afb, NM
Provider details
- NPI number
- 1255093647
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Military Health Care Provider171000000X
Other Service Providers
Practice location
2050a 2nd St Ne
Kirtland Afb, NM 87108
Phone: (505) 843-3200
Approximate (ZIP-level) locationGet directions
Mailing address
2050a 2nd St Se
Kirtland, NM 87108
Registry dates
- Enumerated
- 2021-10-12
- Last updated
- 2023-03-27
- Certified
- 2023-03-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.