Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Amy Dereczyk, PA-C

Physician Assistant in Detroit, MI · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1558349050

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Registry record

Entity type Individual (Type 1)

Name Amy Dereczyk

Credential PA-C

Sex Female

Practice address 4001 W Mcnichols Rd, Detroit, MI, 48221

Phone (313) 993-1797

Fax (313) 993-1271

Enumeration date Jan 4, 2006

Last updated in NPPES May 10, 2011

Taxonomy & licenses

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 5601003980 (MI) Primary

Other identifiers

Identifier	Type	State	Issuer
11712511	Other	-	CAQH

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What specialty is Amy Dereczyk?

Amy Dereczyk is registered in NPPES with the primary taxonomy of Physician Assistant. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-05-10.