Jenna Eliz Tan Derivera, CAA
NPI 1255123345ActiveIndividual· Anesthesiologist Assistant· Washington, DC
Anesthesiologist Assistant (CAA) in Washington, District of Columbia, trained at Case Western University School of Dental Medicine (class of 2025). Enrolled in Medicare as practitioner - anesthesiology assistant.
Overview
| NPI | 1255123345 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CAA |
| Sole proprietor | No |
| NPI issued | May 22, 2025 |
| Last updated in NPPES | May 22, 2025 |
| Certified by provider | May 22, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Anesthesiologist Assistant Primary | 367H00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Anesthesiology Assistant (DC) |
|---|
Education and affiliations
| Medical school | Case Western University School of Dental Medicine |
|---|---|
| Graduation year | 2025 |
| Medicare specialty | Anesthesiology Assistant |
Medical group
- Medical Faculty Associates, IncWashington, DC · 672 clinicians
Hospital affiliation
- George Washington Univ HospitalWashington, DC
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