Individual provider Active NPI

Derek Matthew Pagsolingan, RN

  • Critical Care Medicine Registered Nurse
  • Mesa, AZ
National Provider Identifier
1295678688
Registry record updated Apr 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine Registered NurseTaxonomy code 163WC0200X
License
282236 Issued in AZ
Practice address
10857 E Dragoon Ave
Mesa, AZ 85208-7609
Phone
(480) 695-2284
NPI assigned
Apr 11, 2026
Last updated
Apr 11, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X 282236 AZ Primary

Addresses

Primary practice location

10857 E Dragoon Ave
Mesa, AZ 85208-7609

Mailing address

10857 E Dragoon Ave
Mesa, AZ 85208-7609
Phone (480) 695-2284

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
282236AZMDCritical Care Medicine Registered Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1775865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775865600000",
    "number": "1295678688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10857 E DRAGOON AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852087609",
            "telephone_number": "480-695-2284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10857 E DRAGOON AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852087609",
            "telephone_number": "480-695-2284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGSOLINGAN",
        "first_name": "DEREK",
        "middle_name": "MATTHEW",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-04-11",
        "last_updated": "2026-04-11",
        "certification_date": "2026-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "AZ",
            "license": "282236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.