DERM INSTITUTE
NPI 1003460874
Dermatology in Caledonia, MI

Active since July 30, 2019CLIA 23D2185277 · Certificate of Compliance
1661 CRYSTAL SPRINGS BLVD SE, CALEDONIA, MI 49316(616) 326-0114(616) 369-3790 Get Directions Write a Review

NPPES record last updated: July 27, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 27, 2023, May 12, 2021, Jul 30, 2019 (3 updates tracked since 2019).

About Derm Institute NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DERM INSTITUTE (NPI 1003460874) is a healthcare organization registered as a dermatology in Caledonia, Michigan and active in the NPI registry since July 2019. The organization holds a CLIA Certificate of Compliance certificate valid through May 9, 2027 and lists Kristi Beth Hawley, Sole Mbr, as its authorized official.

NPPES Registry Identity

NPI1003460874
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameDERM INSTITUTE OF WEST MICHIGAN PLC
Location Address1661 CRYSTAL SPRINGS BLVD SECaledonia, MI 49316-4931
Mailing Address7234 Tory DrHudsonville, MI 49426-9066 · (616) 485-2012
Fax(616) 369-3790
Organization SubpartNo
Authorized OfficialKristi Beth HawleySole Mbr · (740) 606-7403
Enumeration DateJuly 30, 2019
Last NPPES UpdateJuly 27, 20233 updates tracked since enumeration
NPPES CertifiedJuly 27, 2023
✔ NPI 1003460874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
1661 CRYSTAL SPRINGS BLVD SE, Caledonia, MI 49316

Other Names 1

Doing Business AsDerm Institute

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Derm Institute is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Derm Institute, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Dermatology
NPI 1821350745
1661 CRYSTAL SPRINGS BLVD SE
Caledonia, MI 49316
(616) 326-0114
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1619340403
1661 CRYSTAL SPRINGS BLVD SE
Caledonia, MI 49316
(616) 326-0114
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1013642180
5900 BYRON CENTER AVE SW
Wyoming, MI 49519
(616) 252-3900
✔ PECOS✔ Accepts Medicare5.1 mi
Dermatology
NPI 1598269631
1740 E PARIS AVE SE
Grand Rapids, MI 49546
(616) 949-5600
✔ PECOS✔ Accepts Medicare7.3 mi
Dermatology
NPI 1619909611
6735 CASCADE RD SE STE 300
Grand Rapids, MI 49546
(269) 321-7546
✔ PECOS✔ Accepts Medicare8.4 mi
Dermatology
NPI 1780025619
315 OAKGROVE ST
Manistee, MI 49660
(231) 299-8900
✔ PECOS✔ Accepts Medicare105 mi
Dermatology
NPI 1831514025
750 W HIGH ST STE 300
Lima, OH 45801
(419) 229-6781
✔ PECOS✔ Accepts Medicare165 mi
Dermatology
NPI 1710159140
800 S US HIGHWAY 281
Marble Falls, TX 78654
(830) 693-4800
✔ PECOS✔ Accepts Medicare1,096 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 23D2185277

Derm Institute Of West Michigan, The · Caledonia, MI
Active · expires May 9, 2027
CLIA Number23D2185277
Laboratory TypePhysician Office
Certificate Effective DateMay 10, 2025
Certificate Expiration DateMay 9, 2027
Laboratory DirectorKristi B. Hawley
Laboratory Phone(616) 326-0114
Laboratory LocationDerm Institute Of West Michigan, The1661 Crystal Springs Blvd SE, Caledonia, MI 49316
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Derm Institute Of West Michigan Plc's NPI number?

The NPI number for Derm Institute Of West Michigan Plc is 1003460874. It was assigned to this organization in the NPPES registry on July 30, 2019. The provider is doing business as Derm Institute.

Where is Derm Institute Of West Michigan Plc located?

Derm Institute Of West Michigan Plc is located at 1661 Crystal Springs Blvd SE, Caledonia, MI 49316. The listed phone number is (616) 326-0114.

What is Derm Institute Of West Michigan Plc's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Derm Institute Of West Michigan Plc enrolled in Medicare?

Yes. Derm Institute Of West Michigan Plc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Derm Institute Of West Michigan Plc?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 2 Medicare specialties reassign their Medicare billing to Derm Institute Of West Michigan Plc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Dermatology (6) and Nurse Practitioner (2). Of these, 2 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Derm Institute Of West Michigan Plc hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 23D2185277) is associated with this NPI, valid through May 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Derm Institute Of West Michigan Plc accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Derm Institute Of West Michigan Plc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Derm Institute Of West Michigan Plc was last updated on July 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.