NPPES file of Aug 9, 2026

Jenna Eliz Tan Derivera, CAA

Anesthesiologist Assistant · Washington, DC

Jenna Eliz Tan Derivera, CAA is an anesthesiologist assistant with a practice address in Washington, District of Columbia, and NPI 1255123345, issued on May 22, 2025. Check the license with the District of Columbia board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1255123345
Name
Jenna Eliz Tan Derivera
Credential
CAA
Primary taxonomy
Anesthesiologist Assistant 367H00000X
Practice location
1200 Pecan St SE, Washington, DC 20032
Phone
(202) 823-4220
Enumerated
May 22, 2025
Record last updated
May 22, 2025
Medicare enrollment
Enrolled (PECOS I20250717002228); accepts Medicare assignment
Medical or professional school
Case Western University School Of Dental Medicine, 2025
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 1200 Pecan St SE

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Anna BellettierePhysician Assistant1144027624
  2. Mariah FaganPhysician Assistant1396543005
  3. Sarah Ganji, MDEpilepsy Physician1205247103
  4. Andrew HallDiagnostic Radiology Physician1710182407
  5. Kathryn Hughes, MDSurgery Physician1225017296
  6. Darnell Jones, PAPhysician Assistant1477598464

Verify Jenna Eliz Tan Derivera in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich District of Columbia board licenses this professionCheck the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the District of Columbia license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Bills Medicare through one group practice

  1. Medical Faculty Associates, IncWashington, DC

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Jenna Eliz Tan Derivera among 130 anesthesiologist assistant records in District of Columbia

Jenna Eliz Tan Derivera, CAA is one of 130 anesthesiologist assistant records with a practice address in District of Columbia. 85% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2025, is newer than 87% of them.

  • NPI issued2025 · 87% of these records are older, 5% newer
  • In a Medicare fileYes · 85% of these records are
  • In the CMS Doctors and Clinicians fileYes · 85% of these records are
  • Graduated2025 · median 2020 among the 111 with a school on file
  • Record last updated2025 · 42% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 367H00000X and a District of Columbia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Anesthesiologist Assistant providers in District of Columbia

There are 130 anesthesiologist assistant records in District of Columbia.

The 8 anesthesiologist assistant records with the nearest ZIP codes

  1. Parmeet MultaniWashington, DC 200321932608791
  2. Jessica PhamWashington, DC 200361417816505
  3. Marilyn Archambeault, CAAWashington, DC 200371346739497
  4. Kerlly Castellano Crespo, AAWashington, DC 200371790344836
  5. Amanda Gumbert, CAAWashington, DC 200371326455288
  6. Janet Ha, C-AAWashington, DC 200371366907149
  7. Destiny HardyWashington, DC 200371609369735
  8. Samuel LindWashington, DC 200371972136174

Common questions

What is Jenna Eliz Tan Derivera, CAA's NPI number?

Jenna Eliz Tan Derivera, CAA's National Provider Identifier (NPI) is 1255123345, issued on May 22, 2025. An NPI identifies a provider in billing; it is not a license.

Where is Jenna Eliz Tan Derivera, CAA located?

The NPPES record lists a practice address at 1200 Pecan St SE, Washington, DC, 20032. Phone: (202) 823-4220. Providers update this record themselves, so call before visiting.

How can I verify Jenna Eliz Tan Derivera, CAA's license?

Search the District of Columbia board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.