WHITE ELM DERMATOLOGY, PLLC
NPI 1215721246
Dermatology in Gorham, ME

Active since April 07, 2025CLIA 20D2338940 · Waiver
8 ELM ST STE 3, GORHAM, ME 04038(207) 303-8011 Get Directions Write a Review

NPPES record last updated: April 7, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About White Elm Dermatology, Pllc NPPES

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

WHITE ELM DERMATOLOGY, PLLC (NPI 1215721246) is a healthcare organization registered as a dermatology in Gorham, Maine and active in the NPI registry since April 2025. The organization holds a CLIA Waiver certificate valid through February 19, 2028 and lists Rachel Rose Miller, Owner/family Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1215721246
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameWHITE ELM DERMATOLOGY, PLLC
Location Address8 ELM ST STE 3Gorham, ME 04038-1506
Mailing Address36 Ritz Farm RdGorham, ME 04038-2296 · (207) 303-8011
Organization SubpartNo
Authorized OfficialRachel Rose MillerOwner/family Nurse Practitioner · (512) 661-9796
Enumeration DateApril 7, 2025
NPPES CertifiedApril 6, 2025
✔ NPI 1215721246 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
8 ELM ST STE 3, Gorham, ME 04038

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

White Elm Dermatology, Pllc 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 White Elm Dermatology, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1700518644
8 ELM ST STE 3
Gorham, ME 04038
(207) 303-8011
✔ PECOS0.1 mi

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 20D2338940

White Elm Dermatology · Gorham, ME
Active · expires Feb 19, 2028
CLIA Number20D2338940
Laboratory TypePhysician Office
Certificate Effective DateFebruary 20, 2026
Certificate Expiration DateFebruary 19, 2028
Laboratory DirectorRachel R. Miller
Laboratory Phone(207) 303-8011
Laboratory LocationWhite Elm Dermatology8 Elm Street Ste 3, Gorham, ME 04038
CLIA data matches this NPI record on: Address 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 White Elm Dermatology, PLLC's NPI number?

The NPI number for White Elm Dermatology, PLLC is 1215721246. It was assigned to this organization in the NPPES registry on April 7, 2025.

Where is White Elm Dermatology, PLLC located?

White Elm Dermatology, PLLC is located at 8 Elm St Ste 3, Gorham, ME 04038. The listed phone number is (207) 303-8011.

What is White Elm Dermatology, PLLC's specialty?

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

Is White Elm Dermatology, PLLC enrolled in Medicare?

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

How many clinicians bill Medicare through White Elm Dermatology, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to White Elm 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does White Elm Dermatology, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 20D2338940) is associated with this NPI, valid through February 19, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for White Elm Dermatology, PLLC was last updated on April 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.