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DERICK DERMATOLOGY, PLLC
NPI 1174097836
Dermatology in Libertyville, IL

Active since January 16, 2019CLIA Certified · 5 labs
950 TECHNOLOGY WAY, SUITE 150, LIBERTYVILLE, IL 60048(847) 381-8899(847) 381-8999 Get Directions Write a Review

NPPES record last updated: September 9, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 9, 2022, May 12, 2022, Apr 12, 2019 and 1 more (4 updates tracked since 2019).

About Derick Dermatology, Pllc NPPES

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

DERICK DERMATOLOGY, PLLC (NPI 1174097836) is a healthcare organization registered as a dermatology in Libertyville, Illinois and active in the NPI registry since January 2019. The organization holds 5 active CLIA laboratory certificates and lists Amy Derick, Medical Doctor, as its authorized official.

NPPES Registry Identity

NPI1174097836
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameDERICK DERMATOLOGY, PLLC
Location Address950 TECHNOLOGY WAY, SUITE 150Libertyville, IL 60048
Mailing AddressPo Box 6685Carol Stream, IL 60197-6685 · (847) 381-8899 · Fax (847) 381-8999
Phone(847) 381-8899
Fax(847) 381-8999
Organization SubpartNo
Authorized OfficialAmy DerickMedical Doctor · (847) 381-8899
Enumeration DateJanuary 16, 2019
Last NPPES UpdateSeptember 9, 20224 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2022
✔ NPI 1174097836 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 ListedNon-Pharmacy Dispensing SiteTaxonomy 332900000X
950 TECHNOLOGY WAY, Libertyville, IL 60048
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness 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)

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

Clinicians Billing Medicare Through This Organization

23

Medicare enrollment records show 23 clinicians reassign Medicare billing to Derick Dermatology, PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 4

Dermatology14
Nurse Practitioner6
Micrographic Dermatologic Surgery (MDS)2
Pathology1

Nearest to this location (20)

See all 23
Melinda Simon, MD
Dermatology
NPI 1982816534
950 TECHNOLOGY WAY SUITE 150
Libertyville, IL 60048
(847) 926-0106
✔ PECOS✔ Accepts MedicareSame address
Luzheng Liu, M.D. PHD
Dermatology
NPI 1295034569
750 W LAKE COOK RD STE 270
Buffalo Grove, IL 60089
(847) 381-8899
✔ PECOS✔ Accepts Medicare9.8 mi
Tracy Campbell, M.D.
Micrographic Dermatologic Surgery (MDS)
NPI 1598921249
501 W NORTH AVE STE 103
Melrose Park, IL 60160
(708) 450-5086
✔ PECOS✔ Accepts Medicare12 mi
Amy Derick, M.D
Dermatology
NPI 1245279884
1531 S GROVE AVE SUITE 101
Barrington, IL 60010
(847) 381-8899
✔ PECOS✔ Accepts Medicare13 mi
Kristen Wozniak, FNP-BC
Nurse Practitioner
NPI 1225205735
1531 S GROVE AVE SUITE 101
Barrington, IL 60010
(847) 381-8899
✔ PECOS✔ Accepts Medicare13 mi
Danielle Kelly, NP
Nurse Practitioner
NPI 1790552313
525 E CONGRESS PKWY STE 200
Crystal Lake, IL 60014
(847) 381-8899
✔ PECOS✔ Accepts Medicare16 mi
Amanda Lareau, M.D.
Dermatology
NPI 1740417286
525 E CONGRESS PKWY DERICK DERMATOLOGY SUITE 200
Crystal Lake, IL 60014
(847) 381-8899
✔ PECOS✔ Accepts Medicare16 mi
Jennee Rommel, M.D.
Dermatology
NPI 1235365594
525 E CONGRESS PKWY SUITE 200
Crystal Lake, IL 60014
(847) 381-8899
✔ PECOS✔ Accepts Medicare16 mi
Taylor Denk, MSN, FNP-BC
Nurse Practitioner
NPI 1649967837
85 W ALGONQUIN RD STE 220
Arlington Heights, IL 60005
(847) 381-8899
✔ PECOS✔ Accepts Medicare17 mi
Jessica Sheehan, MD
Micrographic Dermatologic Surgery (MDS)
NPI 1790923324
85 W ALGONQUIN RD SUITE 220
Arlington Heights, IL 60005
(847) 381-8899
✔ PECOS✔ Accepts Medicare17 mi
Stefanie Ali, MD
Dermatology
NPI 1942473947
1600 N RANDALL RD SUITE 400
Elgin, IL 60123
(815) 744-8554
✔ PECOS✔ Accepts Medicare23 mi
Suzanne Birmingham, MD
Dermatology
NPI 1831693597
1600 N RANDALL RD STE 400
Elgin, IL 60123
(847) 381-8899
✔ PECOS✔ Accepts Medicare23 mi
Bailey Ellington
Nurse Practitioner
NPI 1598218125
1600 N RANDALL RD 400
Elgin, IL 60123
(847) 381-8899
✔ PECOS✔ Accepts Medicare23 mi
Reshma Haugen, M.D.
Dermatology
NPI 1083947238
1600 N RANDALL RD STE 400
Elgin, IL 60123
(847) 381-8899
✔ PECOS✔ Accepts Medicare23 mi
Jennifer Hensley, MD
Dermatology
NPI 1467624528
1600 N RANDALL RD SUITE 400
Elgin, IL 60123
(847) 381-8899
✔ PECOS✔ Accepts Medicare23 mi
Magdalena Kobierska, M.D.
Dermatology
NPI 1821384710
1600 N RANDALL RD STE 400
Elgin, IL 60123
(847) 381-8899
✔ PECOS✔ Accepts Medicare23 mi
Stephanie Nagarwalla, FNP
Nurse Practitioner
NPI 1104329036
1600 N RANDALL RD STE 400
Elgin, IL 60123
(847) 381-8899
✔ PECOS✔ Accepts Medicare23 mi
Christine Roloff, MD
Pathology
NPI 1245431576
1600 N RANDALL RD STE 400
Elgin, IL 60123
(847) 381-8899
✔ PECOS✔ Accepts Medicare23 mi
Andrew Thompson, MD
Dermatology
NPI 1306263561
1600 N RANDALL RD SUITE 400
Elgin, IL 60123
(847) 381-8899
✔ PECOS✔ Accepts Medicare23 mi
Danielle Warren, APRN
Nurse Practitioner
NPI 1730943846
1600 N RANDALL RD STE 400
Elgin, IL 60123
(847) 381-8899
✔ PECOS✔ Accepts Medicare23 mi
See all 23 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 5

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 Compliance 14D2166837

Derick Dermatology, L L C · Libertyville, IL
Active · expires Oct 16, 2027
CLIA Number14D2166837
Laboratory TypePhysician Office
Certificate Effective DateOctober 17, 2025
Certificate Expiration DateOctober 16, 2027
Laboratory DirectorJessica Sheehan
Laboratory Phone(847) 381-8899
Laboratory LocationDerick Dermatology, L L C950 Technology Way - Ste 150, Libertyville, IL 60048
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 14D2190951

Derick Dermatology, LLC · Skokie, IL
Active · expires Nov 3, 2027
CLIA Number14D2190951
Laboratory TypePhysician Office
Certificate Effective DateNovember 4, 2025
Certificate Expiration DateNovember 3, 2027
Laboratory DirectorChristine Roloff
Laboratory Phone(847) 381-8899
Laboratory LocationDerick Dermatology, LLC5250 Old Orchard Rd - Ste 110, Skokie, IL 60077
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 14D2239041

Derick Dermatology, LLC · Northbrook, IL
Active · expires Sep 14, 2027
CLIA Number14D2239041
Laboratory TypePhysician Office
Certificate Effective DateSeptember 15, 2025
Certificate Expiration DateSeptember 14, 2027
Laboratory DirectorPedram Yazdan
Laboratory Phone(847) 381-8899
Laboratory LocationDerick Dermatology, LLC956 Surrey Lane, Northbrook, IL 60062
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 14D2166845

Derick Dermatology, L L C · Lindenhurst, IL
Active · expires May 27, 2027
CLIA Number14D2166845
Laboratory TypePhysician Office
Certificate Effective DateMay 28, 2025
Certificate Expiration DateMay 27, 2027
Laboratory DirectorAmy J. Derick M D
Laboratory Phone(847) 381-8899
Laboratory LocationDerick Dermatology, L L C1025 Red Oak Ln - Ste 250, Lindenhurst, IL 60046
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 14D2207958

Derick Dermatology, L L C · Bolingbrook, IL
Active · expires Jan 2, 2027
CLIA Number14D2207958
Laboratory TypePhysician Office
Certificate Effective DateJanuary 3, 2025
Certificate Expiration DateJanuary 2, 2027
Laboratory DirectorAmy J. Derick M D
Laboratory Phone(847) 381-8899
Laboratory LocationDerick Dermatology, L L C329 Remington Blvd - Ste 225, Bolingbrook, IL 60440
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only 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 Derick Dermatology, PLLC's NPI number?

The NPI number for Derick Dermatology, PLLC is 1174097836. It was assigned to this organization in the NPPES registry on January 16, 2019.

Where is Derick Dermatology, PLLC located?

Derick Dermatology, PLLC is located at 950 Technology Way Suite 150, Libertyville, IL 60048. The listed phone number is (847) 381-8899.

What is Derick Dermatology, PLLC's specialty?

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

Is Derick Dermatology, PLLC enrolled in Medicare?

Yes. Derick Dermatology, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Derick Dermatology, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 23 clinicians in 4 Medicare specialties reassign their Medicare billing to Derick Dermatology, PLLC. 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 (14), Nurse Practitioner (6) and Micrographic Dermatologic Surgery (MDS) (2). 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.

Does Derick Dermatology, PLLC hold CLIA laboratory certificates?

Yes. 5 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Derick Dermatology, PLLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 39 other insurers list Derick Dermatology, PLLC 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 Derick Dermatology, PLLC was last updated on September 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.