1. Home
  2. Directory
  3. Nebraska
  4. Fremont
  5. Nurse Practitioner
  6. NPI Profile

SKIN ENVY DERMATOLOGY
NPI 1154895209
Nurse Practitioner in Fremont, NE

Active since January 11, 2019CLIA 28D2160170 · Waiver
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: August 09, 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 holds a CLIA Waiver certificate valid through January 6, 2027 and 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
Phone(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
Open in Google Maps ↗

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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

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 of Waiver 28D2160170

Skin Envy Dermatology · Fremont, NE
Active · expires Jan 6, 2027
CLIA Number28D2160170
Laboratory TypePractitioner Other
Certificate Effective DateJanuary 7, 2025
Certificate Expiration DateJanuary 6, 2027
Laboratory DirectorDebra L. Baker
Laboratory Phone(402) 963-6198
Laboratory LocationSkin Envy Dermatology3140 E Elk Lane, Ste 600, Fremont, NE 68025
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEBRA BAKER APRN
Nurse Practitioner
3140 ELK LN STE 600
FREMONT, NE 68025
Dodge County (402) 720-8691

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.

Does Skin Envy Dermatology hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 28D2160170) is associated with this NPI, valid through January 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Skin Envy Dermatology accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Nebraska and 1 other insurer 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.