1. Home
  2. Directory
  3. Washington
  4. Bremerton
  5. Dermatology
  6. NPI Profile

FOREFRONT DERMATOLOGY, S.C.
NPI 1194517763
Dermatology in Bremerton, WA

Active since May 20, 2025CLIA 50D2330200 · Waiver
2771 HEMLOCK ST STE 100, BREMERTON, WA 98310(360) 360-2763(360) 707-7808 Get Directions Write a Review

NPPES record last updated: May 20, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Forefront Dermatology, S.c. NPPES

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

FOREFRONT DERMATOLOGY, S.C. (NPI 1194517763) is a healthcare organization registered as a dermatology in Bremerton, Washington and active in the NPI registry since May 2025. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Betsy J Wernli, President, as its authorized official.

NPPES Registry Identity

NPI1194517763
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameFOREFRONT DERMATOLOGY, S.C.
Location Address2771 HEMLOCK ST STE 100Bremerton, WA 98310-2689
Mailing Address801 York StManitowoc, WI 54220-4630 · (920) 663-9008 · Fax (920) 684-1439
Phone(360) 360-2763
Fax(360) 707-7808
Organization SubpartNo
Authorized OfficialBetsy J WernliPresident · (920) 482-0671
Enumeration DateMay 20, 2025
NPPES CertifiedMay 20, 2025
✔ NPI 1194517763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X
2771 HEMLOCK ST STE 100, Bremerton, WA 98310
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.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)

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

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Forefront Dermatology, S.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Kevin Fajardo, MD, MPH, MTMH
Dermatology
NPI 1922146596
2771 HEMLOCK ST STE 100
Bremerton, WA 98310
(360) 360-2763
✔ PECOS✔ Accepts MedicareSame address

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 of Waiver 50D2330200

Forefront Dermatology, Sc · Bremerton, WA
Active · expires Apr 4, 2028
CLIA Number50D2330200
Laboratory TypePhysician Office
Certificate Effective DateSeptember 11, 2025
Certificate Expiration DateApril 4, 2028
Laboratory DirectorKevin Fajardo
Laboratory Phone(360) 360-2763
Laboratory LocationForefront Dermatology, Sc2771 Hemlock St Ste 100, Bremerton, WA 98310
CLIA data matches this NPI record on: Address 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 Forefront Dermatology, S.C.'s NPI number?

The NPI number for Forefront Dermatology, S.C. is 1194517763. It was assigned to this organization in the NPPES registry on May 20, 2025.

Where is Forefront Dermatology, S.C. located?

Forefront Dermatology, S.C. is located at 2771 Hemlock St Ste 100, Bremerton, WA 98310. The listed phone number is (360) 360-2763.

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), 1 clinician (Dermatology) reassigns 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. 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 of Waiver (number 50D2330200) is associated with this NPI, valid through April 4, 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 Premera Blue Cross Blue Shield of Alaska 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 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.