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CLEAR CREEK DERMATOLOGY
NPI 1013667161
Dermatology in Llano, TX

Active since March 23, 2022CLIA Certified · 3 labs
904 FORD ST, LLANO, TX 78643(830) 953-1700(830) 953-1717 Get Directions Write a Review

NPPES record last updated: September 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Clear Creek Dermatology NPPES

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

CLEAR CREEK DERMATOLOGY (NPI 1013667161) is a healthcare organization registered as a dermatology in Llano, Texas and active in the NPI registry since March 2022. The organization holds 3 active CLIA laboratory certificates, maintains 2 additional practice locations, and lists Emily Liga Prosise, Owner, as its authorized official.

NPPES Registry Identity

NPI1013667161
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameCLEAR CREEK DERMATOLOGY
Location Address904 FORD STLlano, TX 78643-2345
Mailing Address904 Ford StLlano, TX 78643-2345 · (830) 953-1700 · Fax (830) 953-1717
Phone(830) 953-1700
Fax(830) 953-1717
Organization SubpartNo
Authorized OfficialEmily Liga ProsiseOwner · (830) 953-1700
Enumeration DateMarch 23, 2022
Last NPPES UpdateSeptember 13, 2023
NPPES CertifiedSeptember 13, 2023
✔ NPI 1013667161 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.
904 FORD ST, Llano, TX 78643
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Secondary Practice Locations 2

Location 1507 W Fm 2147 Ste 204Marble Falls, TX 78654-6279 · Phone (830) 953-1700 · Fax (830) 953-1717
Location 2205 W Windcrest St Ste 340Fredericksburg, TX 78624-4478 · Phone (830) 953-1711 · Fax (830) 953-1717

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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 3

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 45D2258312

Clear Creek Dermatology · Llano, TX
Active · expires Jan 2, 2027
CLIA Number45D2258312
Laboratory TypePhysician Office
Certificate Effective DateJanuary 3, 2025
Certificate Expiration DateJanuary 2, 2027
Laboratory DirectorEmily L. Prosise
Laboratory Phone(830) 953-1700
Laboratory LocationClear Creek Dermatology904 Ford St, Llano, TX 78643
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.

Certificate of Compliance 45D2287799

Clear Creek Dermatology Marble Falls · Marble Falls, TX
Active · expires Apr 10, 2028
CLIA Number45D2287799
Laboratory TypePhysician Office
Certificate Effective DateApril 11, 2026
Certificate Expiration DateApril 10, 2028
Laboratory DirectorBrian L. Ransdell
Laboratory Phone(830) 953-1700
Laboratory LocationClear Creek Dermatology Marble Falls507 W 2147 Suite 204, Marble Falls, TX 78654
CLIA data matches this NPI record on: 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.

Certificate of Compliance 45D2280400

Clear Creek Dermatology Fredericksburg · Fredericksburg, TX
Active · expires Feb 20, 2028
CLIA Number45D2280400
Laboratory TypePhysician Office
Certificate Effective DateFebruary 21, 2026
Certificate Expiration DateFebruary 20, 2028
Laboratory DirectorEmily L. Prosise
Laboratory Phone(830) 953-1700
Laboratory LocationClear Creek Dermatology Fredericksburg205 W Windcrest Suite 340, Fredericksburg, TX 78624
CLIA data matches this NPI record on: 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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JACQUELYNN T ANDERSON PA
Physician Assistant
904 FORD ST
LLANO, TX 78643
Llano County (830) 953-1700

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 Clear Creek Dermatology's NPI number?

The NPI number for Clear Creek Dermatology is 1013667161. It was assigned to this organization in the NPPES registry on March 23, 2022.

Where is Clear Creek Dermatology located?

Clear Creek Dermatology is located at 904 Ford St, Llano, TX 78643. The listed phone number is (830) 953-1700.

What is Clear Creek Dermatology's specialty?

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

Does Clear Creek Dermatology hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Clear Creek Dermatology accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 1 other insurer list Clear Creek Dermatology 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 Clear Creek Dermatology was last updated on September 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.