DEREK JAMES PELLETIER (PAC) – Physician Assistant, NPI 1730105230

DEREK JAMES PELLETIER (PAC) is a healthcare provider. based in Rockwall, Texas. specializing in Physician Assistant. They hold the professional credentials PAC. They hold a License No. PA03964 (TX). The NPI Number for DEREK JAMES PELLETIER (PAC) is 1730105230

Main info

Male
Name
DEREK JAMES PELLETIER (PAC)
NPI
1730105230
Phone
(214) 771-3100
Address
2504 RIDGE ROAD
Enumeration Date
15 July 2006
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DEREK JAMES PELLETIER (PAC)

  • Medical Arts Building, 2504, Ridge Road, Glen Hill, Rockwall, Rockwall County, Texas, 75087, United States

    SUITE 203

    ROCKWALL, TX 75087

    Phone: (214) 771-3100

    Fax: (214) 771-3101

    Type: Location

  • 1553 HWY 34 SOUTH

    #600

    TERRELL, TX 75160

    Phone: (972) 563-8500

    Fax: (972) 563-8501

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75087)

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Frequently asked questions

What NPI should I save for DEREK JAMES PELLETIER (PAC)?
Save NPI 1730105230 if you need a stable reference for DEREK JAMES PELLETIER (PAC).
Is DEREK JAMES PELLETIER (PAC)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize DEREK JAMES PELLETIER (PAC)'s specialty in plain language?
Clinically, the directory lists DEREK JAMES PELLETIER (PAC) with Physician Assistant. Clinical services aligned with this taxonomy classification.
What location shows for DEREK JAMES PELLETIER (PAC)?
We surface Rockwall, Texas for DEREK JAMES PELLETIER (PAC) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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