Active NPI
Richard Derek Allen, PA-C
- Physician Assistant
- Wenatchee, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA10004806
- Practice address
- 1201 S Miller St
Wenatchee, WA 98801-3201 - Phone
- (509) 665-6130
- Fax
- (509) 665-6052
- NPI assigned
- Oct 24, 2005
- Last updated
- Apr 14, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA10004806 | WA | Primary |
| Surgical Physician Assistant | 363AS0400X | PA10004806 | WA |
Addresses
Primary practice location
1201 S Miller St
Wenatchee, WA 98801-3201
Mailing address
820 N Chelan Ave
Wenatchee, WA 98801-2028
Phone (509) 663-8711
Other practice location 1
1100 Goethals Dr Ste E
Richland, WA 99352-3301
Phone (509) 942-3095
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01381482 | Other | WA | RR MEDICARE WVH |
| 1508856410 | Medicaid | WA | |
| 289199 | Other | WA | WVH LNI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 W 8TH Ave
Spokane, WA 99204-2307
Phone (509) 474-3131
1100 Goethals Dr
Suite E
Richland, WA 99352-3301
Phone (509) 942-2986
1201 S Miller St
Wenatchee, WA 98801-3201
Phone (509) 662-2208
1215 S Miller St
Wenatchee, WA 98801-3201
Phone (509) 665-6087
933 Red Apple Rd
Wenatchee, WA 98801-3370
Phone (509) 663-8711
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA10004806 | WA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wenatchee Valley Hospital | Current | Accepting new patients | |
| Central Washington Health Services Association | Current | Accepting new patients | |
| Ozark Tri-County Health Care Consortium | Past | Accepting new patients |
Locations
17 S Western Ave
Tonasket, WA 98855
Phone (509) 486-2174
1201 S Miller St
Wenatchee, WA 98801
Phone (509) 662-2208
820 N Chelan Ave
Wenatchee, WA 98801
Phone (509) 863-4868
933 Red Apple Rd
Wenatchee, WA 98801
Phone (509) 655-6125
933 Red Apple Rd
Ste E
Wenatchee, WA 98801
Phone (509) 667-2003
Interoperability endpoints
- dallen18332@edirect.chehr.org
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Confluence Health
- Emergency Medical Services (Emergency Medicine) Physician
- Wenatchee, WA
- NPI 1801937453
-
- General Acute Care Hospital
- Richland, WA
- NPI 1972507580
-
dba NW Heart & Lung Surgical Assoc
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Spokane, WA
- NPI 1538311287
-
- Multi-Specialty Clinic/Center
- Wenatchee, WA
- NPI 1669719688
-
dba Confluence Health
- General Acute Care Hospital
- Wenatchee, WA
- NPI 1881642239
-
dba Access Family Care
- Federally Qualified Health Center (FQHC)
- Joplin, MO
- NPI 1538151733
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Confluence Health
- General Acute Care Hospital
- Wenatchee, WA
- NPI 1306883228
-
- General Acute Care Hospital
- Richland, WA
- NPI 1972507580
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776124800000",
"number": "1508856410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "820 N CHELAN AVE",
"city": "WENATCHEE",
"state": "WA",
"postal_code": "988012028",
"telephone_number": "509-663-8711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 S MILLER ST",
"city": "WENATCHEE",
"state": "WA",
"postal_code": "988013201",
"telephone_number": "509-665-6130",
"fax_number": "509-665-6052"
}
],
"practiceLocations": [
{
"address_1": "1100 Goethals Dr Ste E",
"address_purpose": "LOCATION",
"city": "Richland",
"state": "WA",
"postal_code": "993523301",
"country_code": "US",
"telephone_number": "509-942-3095",
"fax_number": "509-942-3097",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALLEN",
"first_name": "RICHARD",
"middle_name": "DEREK",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-24",
"last_updated": "2026-04-14",
"certification_date": "2026-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "PA10004806",
"primary": true
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "WA",
"license": "PA10004806",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE WVH",
"identifier": "P01381482",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1508856410",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WVH LNI",
"identifier": "289199",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wenatchee, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.