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SKIN DERMATOLOGY & AESTHETICS
NPI 1134410764
Dermatology in Elkhorn, NE

Active since April 30, 2011CLIA 28D2098084 · Microscopy
1408 VETERANS DR, SUITE 100, ELKHORN, NE 68022(402) 916-5664 Get Directions Write a Review

NPPES record last updated: April 30, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Skin Dermatology & Aesthetics NPPES

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

SKIN DERMATOLOGY & AESTHETICS (NPI 1134410764) is a healthcare organization registered as a dermatology in Elkhorn, Nebraska and active in the NPI registry since April 2011. The organization holds a CLIA Microscopy certificate valid through June 29, 2027 and lists Chad M Hillyer, Owner, as its authorized official.

NPPES Registry Identity

NPI1134410764
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameSKIN PC
Location Address1408 VETERANS DR, SUITE 100Elkhorn, NE 68022-6912
Mailing Address1408 Veterans Dr, Suite 100Elkhorn, NE 68022-6912 · (402) 916-5664
Phone(402) 916-5664
Organization SubpartNo
Authorized OfficialChad M HillyerOwner · (402) 916-5664
Enumeration DateApril 30, 2011
✔ NPI 1134410764 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.
1408 VETERANS DR, Elkhorn, NE 68022
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Other Names 1

Doing Business AsSkin Dermatology & Aesthetics

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 Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware and more.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)

Skin Dermatology & Aesthetics is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Skin Dermatology & Aesthetics, which bills Medicare for the services this clinician delivers.

Clinician (1)

Doralia Yanely Flores, FNP
Nurse Practitioner
NPI 1629676044
410 E 22ND ST STE 1
Fremont, NE 68025
(402) 727-7979
✔ PECOS✔ Accepts Medicare18 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 for Provider-Performed Microscopy Procedures (PPMP) 28D2098084

Skin PC Dermatology · Elkhorn, NE
Active · expires Jun 29, 2027
CLIA Number28D2098084
Laboratory TypePhysician Office
Certificate Effective DateJune 30, 2025
Certificate Expiration DateJune 29, 2027
Laboratory DirectorMs. Lyndsey G. Degenhardt
Laboratory Phone(402) 916-5665
Laboratory LocationSkin PC Dermatology1408 Veterans Drive Suite 100, Elkhorn, NE 68022
CLIA data matches this NPI record on: Address Name
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 Skin PC's NPI number?

The NPI number for Skin PC is 1134410764. It was assigned to this organization in the NPPES registry on April 30, 2011. The provider is doing business as Skin Dermatology & Aesthetics.

Where is Skin PC located?

Skin PC is located at 1408 Veterans Dr Suite 100, Elkhorn, NE 68022. The listed phone number is (402) 916-5664.

What is Skin PC's specialty?

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

Is Skin PC enrolled in Medicare?

Yes. Skin PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Skin PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Skin PC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Skin PC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 28D2098084) is associated with this NPI, valid through June 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Skin PC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Nebraska list Skin PC 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 Skin PC was last updated on April 30, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.