DEREK DOUGLAS MAGNUSON PA-C NPI 1124115126

NPI Information

  • NPI: 1124115126
  • Provider Name: DEREK DOUGLAS MAGNUSON, PA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 7550 N DALE MABRY HWY
    TAMPA, FL
    ZIP 33614
  • Phone: (813) 885-4706

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NPI Details

Derek Douglas Magnuson, PA-C is a medical physician assistant in Tampa, FL with 25 years of experience. Derek Douglas Magnuson, PA-C NPI is 1124115126. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7550 N DALE MABRY HWY
TAMPA, FL
ZIP 33614-226
Phone: (813) 885-4706
Fax: (813) 885-9463

The NPI 1124115126 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Automated urinalysis test (HCPCS:81003)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)

The enumeration date for this NPI number is 10/10/2006 and was last updated on 1/22/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363A00000XPhysician AssistantPA9101889FLORIDANo
2363AM0700XPhysician AssistantMedicalPA9101889FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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