FOREFRONT DERMATOLOGY, S.C.
NPI 1063641249
Dermatology in New London, WI

Active since July 08, 2009CLIA 52D1102904 · Microscopy
1620 N SHAWANO ST, SUITE C, NEW LONDON, WI 54961(920) 982-3870(920) 982-3697 Get Directions Write a Review

NPPES record last updated: May 17, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 17, 2018, Mar 20, 2018 (2 updates tracked since 2018).

About Forefront Dermatology, S.c. NPPES

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

FOREFRONT DERMATOLOGY, S.C. (NPI 1063641249) is a healthcare organization registered as a dermatology in New London, Wisconsin and active in the NPI registry since July 2009. The organization holds a CLIA Microscopy certificate valid through July 27, 2027 and lists Betsy J Wernli, President, as its authorized official.

NPPES Registry Identity

NPI1063641249
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameFOREFRONT DERMATOLOGY, S.C.
Location Address1620 N SHAWANO ST, SUITE CNew London, WI 54961
Mailing Address801 York StManitowoc, WI 54220-4630 · (920) 683-5278 · Fax (920) 686-9674
Fax(920) 982-3697
Organization SubpartNo
Authorized OfficialBetsy J WernliPresident · (920) 482-0671
Enumeration DateJuly 8, 2009
Last NPPES UpdateMay 17, 20182 updates tracked since enumeration
✔ NPI 1063641249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X
1620 N SHAWANO ST, New London, WI 54961

Other Identifiers 2

Medicaid1093044950WI
Other000017140WI · Medicare

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)

Forefront Dermatology, S.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

60

Medicare enrollment records show 60 clinicians reassign Medicare billing to Forefront Dermatology, S.C., which bills Medicare for the services they deliver. Of these, 1 practice at this address. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Dermatology40
Pathology10
Nurse Practitioner7
Micrographic Dermatologic Surgery (MDS)2
Physician Assistant1

Nearest to this location (20)

See all 60
Nurse Practitioner
NPI 1881306280
1620 N SHAWANO ST STE C
New London, WI 54961
(920) 982-3870
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1982066239
188 ROCKWOOD LN STE A
Neenah, WI 54956
(920) 725-4100
✔ PECOS✔ Accepts Medicare19 mi
Dermatology
NPI 1528001294
188 ROCKWOOD LN
Neenah, WI 54956
(920) 725-4100
✔ PECOS✔ Accepts Medicare19 mi
Dermatology
NPI 1801802046
3935 N. LIGHTNING DRIVE
Appleton, WI 54913
(920) 968-1790
✔ PECOS✔ Accepts Medicare20 mi
Dermatology
NPI 1760047112
3935 N LIGHTNING DR
Appleton, WI 54913
(920) 968-1790
✔ PECOS✔ Accepts Medicare20 mi
Dermatology
NPI 1972863389
3935 N LIGHTNING DR
Appleton, WI 54913
(920) 968-1790
✔ PECOS✔ Accepts Medicare20 mi
Dermatology
NPI 1477725141
3935 N LIGHTNING DR
Appleton, WI 54913
(920) 968-1790
✔ PECOS✔ Accepts Medicare20 mi
Dermatology
NPI 1932786159
2700 CROOKS AVE STE 101
Kaukauna, WI 54130
(920) 581-5561
✔ PECOS✔ Accepts Medicare25 mi
Dermatology
NPI 1124145040
1400 SCHEURING RD
De Pere, WI 54115
(920) 964-0229
✔ PECOS✔ Accepts Medicare32 mi
Dermatology
NPI 1952729774
2806 RIVERVIEW DR
Green Bay, WI 54313
(920) 498-7546
✔ PECOS✔ Accepts Medicare34 mi
Dermatology
NPI 1821298324
2617 DEVELOPMENT DR
Green Bay, WI 54311
(920) 336-8197
✔ PECOS✔ Accepts Medicare37 mi
Nurse Practitioner
NPI 1598782518
5501A VERN HOLMES DR
Stevens Point, WI 54482
(715) 344-0172
✔ PECOS✔ Accepts Medicare39 mi
Nurse Practitioner
NPI 1124793005
420 DEWEY ST STE 1
Wisconsin Rapids, WI 54494
(715) 421-4500
✔ PECOS✔ Accepts Medicare54 mi
Micrographic Dermatologic Surgery (MDS)
NPI 1891779179
1515 RANDOLPH CT
Manitowoc, WI 54220
(920) 683-5278
✔ PECOS✔ Accepts Medicare56 mi
Pathology
NPI 1578726717
801 YORK ST
Manitowoc, WI 54220
(920) 683-5278
✔ PECOS✔ Accepts Medicare58 mi
Pathology
NPI 1548622533
801 YORK ST
Manitowoc, WI 54220
(920) 683-5278
✔ PECOS✔ Accepts Medicare58 mi
Pathology
NPI 1326393307
801 YORK ST
Manitowoc, WI 54220
(920) 683-5278
✔ PECOS✔ Accepts Medicare58 mi
Pathology
NPI 1356880868
801 YORK ST
Manitowoc, WI 54220
(920) 683-5278
✔ PECOS✔ Accepts Medicare58 mi
Nurse Practitioner
NPI 1013788397
510 N 17TH AVE STE C
Wausau, WI 54401
(715) 849-5333
✔ PECOS✔ Accepts Medicare59 mi
Physician Assistant
NPI 1225522733
109 WARREN ST STE 1
Beaver Dam, WI 53916
(920) 885-2622
✔ PECOS✔ Accepts Medicare66 mi
See all 60 clinicians

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 for Provider-Performed Microscopy Procedures (PPMP) 52D1102904

Forefront Dermatology, Sc · New London, WI
Active · expires Jul 27, 2027
CLIA Number52D1102904
Laboratory TypePhysician Office
Certificate Effective DateJuly 28, 2025
Certificate Expiration DateJuly 27, 2027
Laboratory DirectorDr. Peter J. Katz
Laboratory Phone(920) 982-3870
Laboratory LocationForefront Dermatology, Sc1620 N Shawano St Ste C, New London, WI 54961
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Forefront Dermatology, S.C.'s NPI number?

The NPI number for Forefront Dermatology, S.C. is 1063641249. It was assigned to this organization in the NPPES registry on July 8, 2009.

Where is Forefront Dermatology, S.C. located?

Forefront Dermatology, S.C. is located at 1620 N Shawano St Suite C, New London, WI 54961. The listed phone number is (920) 982-3870.

What is Forefront Dermatology, S.C.'s specialty?

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

Is Forefront Dermatology, S.C. enrolled in Medicare?

Yes. Forefront Dermatology, S.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Forefront Dermatology, S.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 60 clinicians in 5 Medicare specialties reassign their Medicare billing to Forefront Dermatology, S.C.. 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 (40), Pathology (10) and Nurse Practitioner (7). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Forefront Dermatology, S.C. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 52D1102904) is associated with this NPI, valid through July 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Forefront Dermatology, S.C. accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), Cigna HealthCare of Florida, Inc. and Cigna Healthcare and 3 other insurers list Forefront Dermatology, S.C. 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 Forefront Dermatology, S.C. was last updated on May 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.