DERMATOLOGY CENTER OF STEAMBOAT SPRINGS, LLC A PROFESSIONAL LLC
NPI 1215157029
Specialist in Steamboat Springs, CO
About Dermatology Center Of Steamboat Springs, Llc A Professional Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DERMATOLOGY CENTER OF STEAMBOAT SPRINGS, LLC A PROFESSIONAL LLC (NPI 1215157029) is a healthcare organization registered as a specialist in Steamboat Springs, Colorado and active in the NPI registry since April 2007. The organization lists Marla Jackson, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dermatology Center Of Steamboat Springs, Llc A Professional Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Dermatology Center Of Steamboat Springs, LLC A Professional LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Steamboat Springs, CO 80487
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 Dermatology Center Of Steamboat Springs, LLC A Professional LLC's NPI number?
The NPI number for Dermatology Center Of Steamboat Springs, LLC A Professional LLC is 1215157029. It was assigned to this organization in the NPPES registry on April 26, 2007.
Where is Dermatology Center Of Steamboat Springs, LLC A Professional LLC located?
Dermatology Center Of Steamboat Springs, LLC A Professional LLC is located at 940 Central Park Dr Suite 210, Steamboat Springs, CO 80487. The listed phone number is (970) 871-4811.
What is Dermatology Center Of Steamboat Springs, LLC A Professional LLC's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Dermatology Center Of Steamboat Springs, LLC A Professional LLC enrolled in Medicare?
Yes. Dermatology Center Of Steamboat Springs, LLC A Professional LLC is registered in the Medicare PECOS enrollment system.
When is Dermatology Center Of Steamboat Springs, LLC A Professional LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Colorado, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Dermatology Center Of Steamboat Springs, LLC A Professional LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Dermatology Center Of Steamboat Springs, LLC A Professional LLC. 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.
When was this NPI record last updated?
The NPPES record for Dermatology Center Of Steamboat Springs, LLC A Professional LLC was last updated on March 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Dermatology Center Of Steamboat Springs, Llc A Professional Llc · NPI 1215157029
Specialist organization in Steamboat Springs, Colorado. Organization record, active in the CMS NPPES registry since April 26, 2007.
## Identity
- **NPI:** 1215157029 (Entity type: Organization)
- **Enumerated:** April 26, 2007
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Marla Jackson, OFFICE MANAGER
## Practice location
- **Address:** 940 CENTRAL PARK DR, SUITE 210, Steamboat Springs, CO 80487-8816
- **Phone:** (970) 871-4811 · **Fax:** (970) 879-4527
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Colorado, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Dermatology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 25, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1215157029) · Data from the CMS NPPES public registry.