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WARTHAN DERMATOLOGY NACOGDOCHES PLLC
NPI 1144820135
Dermatology in Nacogdoches, TX

Active since October 28, 2020
4730 NE STALLINGS DR, NACOGDOCHES, TX 75965(936) 564-6107(936) 564-5124 Get Directions Write a Review

NPPES record last updated: March 14, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 14, 2023, Nov 23, 2020, Oct 28, 2020 (3 updates tracked since 2020).

About Warthan Dermatology Nacogdoches Pllc NPPES

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

WARTHAN DERMATOLOGY NACOGDOCHES PLLC (NPI 1144820135) is a healthcare organization registered as a dermatology in Nacogdoches, Texas and active in the NPI registry since October 2020. The organization lists Jaclyn R Hill, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1144820135
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameWARTHAN DERMATOLOGY NACOGDOCHES PLLC
Location Address4730 NE STALLINGS DRNacogdoches, TX 75965-1615
Mailing Address4730 Ne Stallings DrNacogdoches, TX 75965-1615 · (817) 923-8220 · Fax (817) 923-9004
Phone(936) 564-6107
Fax(936) 564-5124
Organization SubpartNo
Authorized OfficialJaclyn R HillPractice Manager · (817) 923-8220
Enumeration DateOctober 28, 2020
Last NPPES UpdateMarch 14, 20233 updates tracked since enumeration
NPPES CertifiedMarch 14, 2023
✔ NPI 1144820135 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 · MOHS-Micrographic SurgeryTaxonomy 207ND0101X
4730 NE STALLINGS DR, Nacogdoches, TX 75965
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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 MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Warthan Dermatology Nacogdoches Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Warthan Dermatology Nacogdoches PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Travis Warthan, MD
Dermatology
NPI 1679647317
4730 NE STALLINGS DRIVE
Nacogdoches, TX 75965
(936) 564-6107
✔ PECOS✔ Accepts MedicareSame address
Amberly Hopson, FNP
Nurse Practitioner
NPI 1073940227
1115 U.S. 259
Henderson, TX 75654
(903) 392-8203
✔ PECOS✔ Accepts Medicare40 mi
Molly Warthan, M.D.
Dermatology
NPI 1073773867
5751 EDWARDS RANCH RD STE 101
Fort Worth, TX 76109
(817) 923-8220
✔ PECOS✔ Accepts Medicare177 mi

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

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 Warthan Dermatology Nacogdoches PLLC's NPI number?

The NPI number for Warthan Dermatology Nacogdoches PLLC is 1144820135. It was assigned to this organization in the NPPES registry on October 28, 2020.

Where is Warthan Dermatology Nacogdoches PLLC located?

Warthan Dermatology Nacogdoches PLLC is located at 4730 NE Stallings Dr, Nacogdoches, TX 75965. The listed phone number is (936) 564-6107.

What is Warthan Dermatology Nacogdoches PLLC's specialty?

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

Is Warthan Dermatology Nacogdoches PLLC enrolled in Medicare?

Yes. Warthan Dermatology Nacogdoches PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Warthan Dermatology Nacogdoches PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Warthan Dermatology Nacogdoches PLLC, in Dermatology and Nurse Practitioner. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Warthan Dermatology Nacogdoches PLLC was last updated on March 14, 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.