Jon Derik Mortensen, PAC
Medical Physician Assistant · Lakewood, WA
Jon Derik Mortensen, PAC is a medical physician assistant with a practice address in Lakewood, Washington, and NPI 1407930456, issued on Oct 25, 2006. Check the license (Washington PA10005073, as entered in NPPES) with the Washington board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Jon Derik Mortensen
- Credential
- PAC
- Primary taxonomy
- Medical Physician Assistant 363AM0700X
- License number
- PA10005073 WA
Self-reported in NPPES; status is on the state search - Practice location
- 10510 Gravelly Lake Dr., Lakewood, WA 98499
- Phone
- (253) 589-7030
- Enumerated
- Oct 25, 2006
- Record last updated
- Jun 14, 2012 (not updated in 14 years: call before relying on the address or phone)
- Fax
- (253) 589-7033
- Medicaid ID
- 8469256 WA
- Medicare enrollment
- Enrolled (PECOS I20070115000277); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest medical physician assistant records → All 1,068 in Washington → Look up another NPI →
Verify Jon Derik Mortensen in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Washington board licenses this profession
Search for license PA10005073Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
3.0 times the Medicare Part D claims of the average medical physician assistant in 2024
3,494 Medicare Part D claims for 244 beneficiaries, against an average of 1,148 among the 23,801 providers of this specialty who prescribed in Part D. Brand-name drugs were 10% of claims. 36 claims were for opioids.
Most prescribed
- Atorvastatin Calcium374 claims
- Lisinopril258 claims
- Amlodipine Besylate164 claims
- Hydrochlorothiazide115 claims
- Gabapentin108 claims
- Losartan Potassium102 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
Industry payments in 2024: $69.76
1 payment: food and beverage; the largest payer was Genentech USA, Inc. The 16,165 providers of this specialty with any payment received $1,055.00 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Community Health CareLakewood, WA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Jon Derik Mortensen among 1,068 medical physician assistant records in Washington
Jon Derik Mortensen, PAC is one of 1,068 medical physician assistant records with a practice address in Washington. 66% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 4% of them.
- NPI issued2006 · 4% of these records are older, 68% newer
- In a Medicare fileYes · 66% of these records are
- In the CMS Doctors and Clinicians fileYes · 54% of these records are
- Graduated2006 · median 2013 among the 581 with a school on file
- Record last updated2012 · 61% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363AM0700X and a Washington practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Medical Physician Assistant providers in Washington
There are 1,068 medical physician assistant records in Washington.
All 1,068 in Washington → Every provider in Lakewood → Medical Physician Assistant nationwide →
The 8 medical physician assistant records with the nearest ZIP codes
- Cara Antol, PA-CLakewood, WA 984991275783920
- Julia Cathcart-ChangLakewood, WA 984991174831440
- Perri Connell, PA-CLakewood, WA 984991932597523
- Tori Franklin, PALakewood, WA 984991992088991
- Armando Garcia, PA-CLakewood, WA 984991619997657
- Victor Hernandes PinedaLakewood, WA 984991447731237
- Vienna KrumwiedeLakewood, WA 984991265225098
- Marisol SalazarLakewood, WA 984991003396953
Common questions
What is Jon Derik Mortensen, PAC's NPI number?
Jon Derik Mortensen, PAC's National Provider Identifier (NPI) is 1407930456, issued on Oct 25, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Jon Derik Mortensen, PAC located?
The NPPES record lists a practice address at 10510 Gravelly Lake Dr., Lakewood, WA, 98499. Phone: (253) 589-7030. Providers update this record themselves, so call before visiting.
How can I verify Jon Derik Mortensen, PAC's license?
NPPES lists Washington license number PA10005073, as entered by the provider. Search the Washington board that licenses this profession; the NPPES record confirms identity only.
How much does Jon Derik Mortensen, PAC prescribe under Medicare Part D?
In 2024, Jon Derik Mortensen, PAC had 3,494 Medicare Part D claims for 244 beneficiaries; the average among medical physician assistant prescribers was 1,148. Part D covers Medicare prescriptions 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.