FOREFRONT DERMATOLOGY, S.C.
NPI 1255782306
Dermatology in Kokomo, IN

Active since June 29, 2016CLIA 15D2119281 · Certificate of Compliance
2130 W SYCAMORE ST STE 200, KOKOMO, IN 46901(765) 457-4455(765) 457-0056 Get Directions Write a Review

NPPES record last updated: May 21, 2018. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: May 21, 2018, Apr 23, 2018, Mar 20, 2018 and 1 more (4 updates tracked since 2016).

About Forefront Dermatology, S.c. NPPES

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

FOREFRONT DERMATOLOGY, S.C. (NPI 1255782306) is a healthcare organization registered as a dermatology in Kokomo, Indiana and active in the NPI registry since June 2016. The organization holds a CLIA Certificate of Compliance certificate valid through October 23, 2027 and lists Betsy J Wernli, President, as its authorized official.

NPPES Registry Identity

NPI1255782306
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameFOREFRONT DERMATOLOGY, S.C.
Location Address2130 W SYCAMORE ST STE 200Kokomo, IN 46901
Mailing Address801 York StManitowoc, WI 54220-4630 · (920) 663-9016 · Fax (920) 684-1435
Fax(765) 457-0056
Organization SubpartNo
Authorized OfficialBetsy J WernliPresident · (920) 482-0671
Enumeration DateJune 29, 2016
Last NPPES UpdateMay 21, 20184 updates tracked since enumeration
✔ NPI 1255782306 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
2130 W SYCAMORE ST STE 200, Kokomo, IN 46901

Group Practice 2

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP
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

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

28

Medicare enrollment records show 28 clinicians reassign Medicare billing to Forefront Dermatology, S.C., which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 2

Dermatology19
Nurse Practitioner9

Nearest to this location (20)

See all 28
Dermatology
NPI 1164003950
17471 WHEELER RD STE 114
Westfield, IN 46074
(317) 912-1377
✔ PECOS✔ Accepts Medicare31 mi
Dermatology
NPI 1760700918
755 W CARMEL DR SUITE 101
Carmel, IN 46032
(317) 846-2396
✔ PECOS✔ Accepts Medicare36 mi
Dermatology
NPI 1528359668
755 W CARMEL DR STE 101
Carmel, IN 46032
(317) 846-2396
✔ PECOS✔ Accepts Medicare36 mi
Nurse Practitioner
NPI 1376959692
6320 N COLLEGE AVE
Indianapolis, IN 46220
(317) 348-3160
✔ PECOS✔ Accepts Medicare43 mi
Dermatology
NPI 1033671086
6320 N COLLEGE AVE
Indianapolis, IN 46220
(317) 348-3160
✔ PECOS✔ Accepts Medicare43 mi
Dermatology
NPI 1366635310
8325 S EMERSON AVE STE C1
Indianapolis, IN 46237
(317) 780-7400
✔ PECOS✔ Accepts Medicare58 mi
Nurse Practitioner
NPI 1306498241
4020 NEW VISION DR
Fort Wayne, IN 46845
(260) 423-2567
✔ PECOS✔ Accepts Medicare74 mi
Dermatology
NPI 1992069462
4020 NEW VISION DR
Fort Wayne, IN 46845
(260) 423-2567
✔ PECOS✔ Accepts Medicare74 mi
Nurse Practitioner
NPI 1497515720
4020 NEW VISION DR
Fort Wayne, IN 46845
(260) 423-2567
✔ PECOS✔ Accepts Medicare74 mi
Nurse Practitioner
NPI 1760756191
4020 NEW VISION DR
Fort Wayne, IN 46845
(260) 423-2567
✔ PECOS✔ Accepts Medicare74 mi
Nurse Practitioner
NPI 1083277362
4020 NEW VISION DR
Fort Wayne, IN 46845
(260) 425-2597
✔ PECOS✔ Accepts Medicare74 mi
Nurse Practitioner
NPI 1942566021
955 N MICHIGAN AVE STE 81
Greensburg, IN 47240
(812) 222-0202
✔ PECOS✔ Accepts Medicare86 mi
Nurse Practitioner
NPI 1336819937
955 N MICHIGAN AVE STE 81
Greensburg, IN 47240
(812) 222-0202
✔ PECOS✔ Accepts Medicare86 mi
Nurse Practitioner
NPI 1932656311
244 WESTWOOD BLVD
Columbus, IN 47201
(812) 669-0141
✔ PECOS✔ Accepts Medicare89 mi
Dermatology
NPI 1841418035
70 W 94TH PL
Crown Point, IN 46307
(219) 662-8822
✔ PECOS✔ Accepts Medicare90 mi
Dermatology
NPI 1518097237
395 NORTHSIDE DR
Batesville, IN 47006
(812) 932-2387
✔ PECOS✔ Accepts Medicare95 mi
Dermatology
NPI 1417132911
303 S WALNUT ST
Seymour, IN 47274
(812) 358-7705
✔ PECOS✔ Accepts Medicare106 mi
Dermatology
NPI 1265648299
535 S BURDICK ST STE 256
Kalamazoo, MI 49007
(269) 290-1901
✔ PECOS✔ Accepts Medicare128 mi
Dermatology
NPI 1073174991
265 QUARTERMASTER CT
Jeffersonville, IN 47130
(812) 282-8622
✔ PECOS✔ Accepts Medicare154 mi
Nurse Practitioner
NPI 1598113433
501 S 2ND ST
Louisville, KY 40202
(502) 583-7546
✔ PECOS✔ Accepts Medicare156 mi
See all 28 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

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 15D2119281

Forefront Dermatology Sc · Kokomo, IN
Active · expires Oct 23, 2027
CLIA Number15D2119281
Laboratory TypePhysician Office
Certificate Effective DateOctober 24, 2025
Certificate Expiration DateOctober 23, 2027
Laboratory DirectorBailey E. Tayebi
Laboratory Phone(765) 457-4455
Laboratory LocationForefront Dermatology Sc2130 W Sycamore Street, Ste 200, Kokomo, IN 46901
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 1255782306. It was assigned to this organization in the NPPES registry on June 29, 2016.

Where is Forefront Dermatology, S.C. located?

Forefront Dermatology, S.C. is located at 2130 W Sycamore St Ste 200, Kokomo, IN 46901. The listed phone number is (765) 457-4455.

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), 28 clinicians in 2 Medicare specialties reassign 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. The largest specialties are Dermatology (19) and Nurse Practitioner (9). 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 Compliance (number 15D2119281) is associated with this NPI, valid through October 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Forefront Dermatology, S.C. accept?

Health plans from Anthem Blue Cross and Blue Shield 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 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.