Lucas Derting, PA-C

InactiveIndividual ProviderPhysician Assistant
NPI issued: July 29, 2005

Quick Facts

NPI Number
1306846381
TypeIndividual
StatusInactive
SpecialtyPhysician Assistant
Taxonomy363A00000X — Physician Assistant
Phone
(719) 545-0663
StateCO

NPI Validation Status: Deactivated

✅Valid 10-digit NPI number (1306846381)
❌Active status: Deactivated / Inactive
✅Verified by CMS NPPES Registry
✅HIPAA compliant identifier
✅Enumeration date on file (July 29, 2005)
Data source: CMS NPPES

Provider Overview

LUCAS DERTING, PA-C is a Physician Assistant provider based in Pueblo, CO who has been registered with CMS since 2005. This NPI is currently Deactivated under CMS NPPES registry.

Provider Details

NPI Number1306846381
Provider TypeIndividual Provider
GenderMale
CredentialPA-C
StatusInactive
Enumeration DateJuly 29, 2005

Practice Location

CityPueblo
StateCO
ZIP Code81003-2757
Phone(719) 545-0663

Specialties & Licenses

★ Primary
SpecialtyPhysician Assistant
Taxonomy Code363A00000X
License StateCO

Mailing Address

CityPueblo
StateCO
ZIP Code81003-2757
Phone(719) 545-0663
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1306846381 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1306846381for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1306846381 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Physician Assistant

Physician Assistants (PAs) practice medicine under the supervision of a licensed physician, conducting physical exams, diagnosing conditions, prescribing treatments, and assisting in surgeries.

Browse all Physician Assistantproviders →
📊
158,607
Physician Assistant Providers in the US

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People Also Ask

What is Lucas Derting's NPI number?
Lucas Derting's NPI number is 1306846381, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Lucas Derting's NPI currently active?
No, Lucas Derting's NPI status is Inactive as of the latest CMS NPPES database updates.
What does Lucas Derting specialize in?
Lucas Derting specializes in Physician Assistant. The healthcare taxonomy code associated with this specialty is 363A00000X.
Where does Lucas Derting practice?
Lucas Derting practices in Pueblo, CO 81003-2757.
When was Lucas Derting's NPI issued?
Lucas Derting's NPI was issued on July 29, 2005.
What is Lucas Derting's provider type?
Lucas Derting is registered as an Individual Provider under CMS NPI Type 1.