SKIN ENVY DERMATOLOGY
NPI 1154895209
Nurse Practitioner in Fremont, NE

Active since January 11, 2019
3140 ELK LN STE 600, FREMONT, NE 68025(402) 936-6198(402) 816-4402 Get Directions Write a Review

NPPES record last updated: January 13, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 13, 2021, Jan 11, 2019 (2 updates tracked since 2019).

About Skin Envy Dermatology NPPES

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

SKIN ENVY DERMATOLOGY (NPI 1154895209) is a healthcare organization registered as a nurse practitioner in Fremont, Nebraska and active in the NPI registry since January 2019. The organization lists Debra Lynn Baker, Owner/np, as its authorized official.

NPPES Registry Identity

NPI1154895209
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameSKIN ENVY DERMATOLOGY
Location Address3140 ELK LN STE 600Fremont, NE 68025-8650
Mailing Address3140 Elk Ln Ste 600Fremont, NE 68025-8650 · (402) 936-6198
Fax(402) 816-4402
Organization SubpartNo
Authorized OfficialDebra Lynn BakerOwner/np · (402) 936-6198
Enumeration DateJanuary 11, 2019
Last NPPES UpdateJanuary 13, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2021
✔ NPI 1154895209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
3140 ELK LN STE 600, Fremont, NE 68025

Other Identifiers 1

Medicaid10026733400NE

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)

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

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Skin Envy Dermatology, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1619326709
3140 ELK LN STE 600
Fremont, NE 68025
(402) 720-8691
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1841737467
2540 N HEALTHY WAY
Fremont, NE 68025
(402) 727-1091
✔ PECOS✔ Accepts Medicare1.9 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 Skin Envy Dermatology's NPI number?

The NPI number for Skin Envy Dermatology is 1154895209. It was assigned to this organization in the NPPES registry on January 11, 2019.

Where is Skin Envy Dermatology located?

Skin Envy Dermatology is located at 3140 Elk Ln Ste 600, Fremont, NE 68025. The listed phone number is (402) 936-6198.

What is Skin Envy Dermatology's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Skin Envy Dermatology enrolled in Medicare?

Yes. Skin Envy Dermatology is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Skin Envy Dermatology?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Skin Envy Dermatology. 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 and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Skin Envy Dermatology 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 Envy 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 Skin Envy Dermatology was last updated on January 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.