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PREMIER DERMATOLOGY
NPI 1154793412
Dermatology in New Lenox, IL

Active since October 27, 2015CLIA 14D2042214 · Microscopy
1890 SILVER CROSS BLVD, SUITE 505, NEW LENOX, IL 60451(708) 424-0656(630) 904-0413 Get Directions Write a Review

NPPES record last updated: May 17, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 17, 2018, Mar 20, 2018, Dec 3, 2015 (3 updates tracked since 2015).

About Premier Dermatology NPPES

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

PREMIER DERMATOLOGY (NPI 1154793412) is a healthcare organization registered as a dermatology in New Lenox, Illinois and active in the NPI registry since October 2015. The organization holds a CLIA Microscopy certificate valid through June 6, 2028 and lists Betsy J Wernli, President, as its authorized official.

NPPES Registry Identity

NPI1154793412
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameFOREFRONT DERMATOLOGY, S.C.
Location Address1890 SILVER CROSS BLVD, SUITE 505New Lenox, IL 60451
Mailing Address801 York StManitowoc, WI 54220-4630 · (920) 663-9016 · Fax (920) 684-1439
Phone(708) 424-0656
Fax(630) 904-0413
Organization SubpartNo
Authorized OfficialBetsy J WernliPresident · (920) 482-0671
Enumeration DateOctober 27, 2015
Last NPPES UpdateMay 17, 20183 updates tracked since enumeration
✔ NPI 1154793412 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
1890 SILVER CROSS BLVD, New Lenox, IL 60451
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Other Names 1

Doing Business AsPremier Dermatology

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 Cigna Healthcare, Cigna HealthCare of Arizona, Inc, Cigna HealthCare of Florida, Inc..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)

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

Clinicians Billing Medicare Through This Organization

39

Medicare enrollment records show 39 clinicians reassign Medicare billing to Premier Dermatology, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 8 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 3

Dermatology32
Nurse Practitioner4
Micrographic Dermatologic Surgery (MDS)3

Nearest to this location (20)

See all 39
Kelly Abate, M.D.
Dermatology
NPI 1528141116
1890 SILVER CROSS BLVD STE 505
New Lenox, IL 60451
(708) 424-0656
✔ PECOS✔ Accepts MedicareSame address
Sogyong Auh, MD
Micrographic Dermatologic Surgery (MDS)
NPI 1578852836
2051 PLAINFIELD RD
Crest Hill, IL 60403
(815) 741-4343
✔ PECOS✔ Accepts Medicare7.7 mi
Gregory Bezanis, MD
Dermatology
NPI 1952395436
2051 PLAINFIELD RD
Crest Hill, IL 60403
(815) 741-4343
✔ PECOS✔ Accepts Medicare7.7 mi
Tanya Bhattacharya, MD
Dermatology
NPI 1902284078
2051 PLAINFIELD RD
Crest Hill, IL 60403
(815) 741-4343
✔ PECOS✔ Accepts Medicare7.7 mi
Cristina Camara, MD
Dermatology
NPI 1790779270
2051 PLAINFIELD RD
Crest Hill, IL 60403
(815) 741-4343
✔ PECOS✔ Accepts Medicare7.7 mi
Steven Neubauer, MD
Dermatology
NPI 1639164064
2051 PLAINFIELD RD
Crest Hill, IL 60403
(815) 741-4343
✔ PECOS✔ Accepts Medicare7.7 mi
Matthew Kelleher, MD
Dermatology
NPI 1225022882
2051 PLAINFIELD RD
Crest Hill, IL 60403
(815) 741-4343
✔ PECOS✔ Accepts Medicare7.8 mi
Sapna Vaghani, MD
Dermatology
NPI 1053502005
2051 PLAINFIELD RD
Crest Hill, IL 60403
(815) 741-4343
✔ PECOS✔ Accepts Medicare7.8 mi
Bharati Chittineni, MD
Dermatology
NPI 1275525495
550 E BOUGHTON RD SUITE 170
Bolingbrook, IL 60440
(262) 898-4400
✔ PECOS✔ Accepts Medicare13 mi
Katherine Mercy, MD
Micrographic Dermatologic Surgery (MDS)
NPI 1134385255
2155 CITY GATE LN STE 225
Naperville, IL 60563
(630) 547-5040
✔ PECOS✔ Accepts Medicare22 mi
Michael Berkson, MD
Dermatology
NPI 1588645741
3253 S HARLEM AVE STE 1A
Berwyn, IL 60402
(708) 788-3885
✔ PECOS✔ Accepts Medicare22 mi
Alexandria Meccia, MD
Dermatology
NPI 1023054954
3253 S HARLEM AVE STE 1A
Berwyn, IL 60402
(708) 788-3885
✔ PECOS✔ Accepts Medicare22 mi
Samantha Conrad, MD
Dermatology
NPI 1134150360
331 W SURF ST STE 700
Chicago, IL 60657
(773) 832-7443
✔ PECOS✔ Accepts Medicare32 mi
Erin Petersen, MD
Dermatology
NPI 1952663098
331 W SURF ST STE 700
Chicago, IL 60657
(773) 832-7443
✔ PECOS✔ Accepts Medicare32 mi
James Quertermous, M.D.
Micrographic Dermatologic Surgery (MDS)
NPI 1184919508
4885 HOFFMAN BLVD STE 407
Hoffman Estates, IL 60192
(224) 484-0183
✔ PECOS✔ Accepts Medicare38 mi
Jessica Borowicz, D.O.
Dermatology
NPI 1477701357
2601 COMPASS RD STE 125
Glenview, IL 60026
(847) 843-3376
✔ PECOS✔ Accepts Medicare39 mi
Shannon Keiser, DNP, FNP-BC
Nurse Practitioner
NPI 1306320031
2601 COMPASS RD STE 125
Glenview, IL 60026
(847) 843-3376
✔ PECOS✔ Accepts Medicare39 mi
Marianne Rosen, MD
Dermatology
NPI 1083670111
2601 COMPASS RD STE 125
Glenview, IL 60026
(847) 843-3376
✔ PECOS✔ Accepts Medicare39 mi
Renata Brindise, D.O.
Dermatology
NPI 1881972305
2601 COMPASS RD STE 125
Glenview, IL 60026
(847) 843-3376
✔ PECOS✔ Accepts Medicare39 mi
Ashli Schoenholz, FNP-BC
Nurse Practitioner
NPI 1467843623
1740 MEDITERRANEAN DR UNIT 102
Sycamore, IL 60178
(815) 981-4990
✔ PECOS✔ Accepts Medicare48 mi
See all 39 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) 14D2042214

Premier Dermatology Forefront Dermatology S C · New Lenox, IL
Active · expires Jun 6, 2028
CLIA Number14D2042214
Laboratory TypePhysician Office
Certificate Effective DateJune 7, 2026
Certificate Expiration DateJune 6, 2028
Laboratory DirectorSteven Neubauer MD
Laboratory Phone(630) 904-0413
Laboratory LocationPremier Dermatology Forefront Dermatology S C1890 Silver Cross Blvd, New Lenox, IL 60451
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 Forefront Dermatology, S.C.'s NPI number?

The NPI number for Forefront Dermatology, S.C. is 1154793412. It was assigned to this organization in the NPPES registry on October 27, 2015. The provider is doing business as Premier Dermatology.

Where is Forefront Dermatology, S.C. located?

Forefront Dermatology, S.C. is located at 1890 Silver Cross Blvd Suite 505, New Lenox, IL 60451. The listed phone number is (708) 424-0656.

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), 39 clinicians in 3 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 (32), Nurse Practitioner (4) and Micrographic Dermatologic Surgery (MDS) (3). Of these, 1 practice at this address and 8 within 10 miles. 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 14D2042214) is associated with this NPI, valid through June 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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

Health plans from Cigna HealthCare of Arizona, Inc, Cigna HealthCare of Florida, Inc. and Cigna Healthcare 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.