ARIZONA DERMATOLOGY GROUP, A FOREFRONT DERMATOLOGY PRACTICE
NPI 1376208868
Dermatology in Prescott, AZ

Active since November 01, 2021CLIA 03D1048563 · Certificate of Compliance
830 AINSWORTH DR, PRESCOTT, AZ 86301(928) 777-5800(928) 776-0405 Get Directions Write a Review

NPPES record last updated: February 15, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 25, 2023, Jan 7, 2022, Nov 1, 2021 (3 updates tracked since 2021).

About Arizona Dermatology Group, A Forefront Dermatology Practice NPPES

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

ARIZONA DERMATOLOGY GROUP, A FOREFRONT DERMATOLOGY PRACTICE (NPI 1376208868) is a healthcare organization registered as a dermatology in Prescott, Arizona and active in the NPI registry since November 2021. The organization holds a CLIA Certificate of Compliance certificate valid through July 25, 2028 and lists Betsy J Wernli, President, as its authorized official.

NPPES Registry Identity

NPI1376208868
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameFOREFRONT DERMATOLOGY, S.C.
Location Address830 AINSWORTH DRPrescott, AZ 86301-1630
Mailing Address801 York StManitowoc, WI 54220-4630 · (920) 663-9008 · Fax (920) 684-1439
Fax(928) 776-0405
Organization SubpartNo
Authorized OfficialBetsy J WernliPresident · (920) 482-0671
Enumeration DateNovember 1, 2021
Last NPPES UpdateFebruary 15, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 15, 2024
✔ NPI 1376208868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ 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 · DermatopathologyTaxonomy 207ND0900X
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X
Also ListedPathology · Anatomic PathologyTaxonomy 207ZP0101X
Also ListedPlastic SurgeryTaxonomy 208200000X
Also ListedPlastic Surgery · Surgery of the HandTaxonomy 2082S0105X
830 AINSWORTH DR, Prescott, AZ 86301

Other Names 1

Doing Business AsArizona Dermatology Group, A Forefront Dermatology Practice

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Arizona Dermatology Group, A Forefront Dermatology Practice is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

15

Medicare enrollment records show 15 clinicians reassign Medicare billing to Arizona Dermatology Group, A Forefront Dermatology Practice, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians by Medicare Specialty 4

Dermatology11
Nurse Practitioner2
General Surgery1
Plastic and Reconstructive Surgery1

Clinicians, nearest first (15)

Dermatology
NPI 1558371179
830 AINSWORTH DR
Prescott, AZ 86301
(928) 777-5800
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1700537321
830 AINSWORTH DR
Prescott, AZ 86301
(928) 777-5800
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1629099072
830 AINSWORTH DR
Prescott, AZ 86301
(928) 777-5800
✔ PECOS✔ Accepts MedicareSame address
Plastic and Reconstructive Surgery
NPI 1396188033
5410 N SCOTTSDALE RD STE A200
Paradise Valley, AZ 85253
(480) 848-2757
✔ PECOS✔ Accepts Medicare79 mi
Dermatology
NPI 1306342811
7337 E 2ND ST
Scottsdale, AZ 85251
(480) 712-8741
✔ PECOS✔ Accepts Medicare80 mi
Dermatology
NPI 1487659454
875 N GREENFIELD RD STE 108
Gilbert, AZ 85234
(480) 801-2103
✔ PECOS✔ Accepts Medicare93 mi
Dermatology
NPI 1720510431
2295 E VISTOSO COMMERCE LOOP
Oro Valley, AZ 85755
(520) 293-5757
✔ PECOS✔ Accepts Medicare171 mi
Dermatology
NPI 1265431274
1595 E RIVER RD SUITE 201
Tucson, AZ 85718
(520) 293-5757
✔ PECOS✔ Accepts Medicare180 mi
Dermatology
NPI 1457919276
1595 E RIVER RD STE 151
Tucson, AZ 85718
(520) 293-5757
✔ PECOS✔ Accepts Medicare180 mi
Dermatology
NPI 1134128564
1595 E RIVER RD SUITE 201
Tucson, AZ 85718
(520) 293-5757
✔ PECOS✔ Accepts Medicare180 mi
Nurse Practitioner
NPI 1497425250
1595 E RIVER RD STE 201
Tucson, AZ 85718
(520) 293-5757
✔ PECOS✔ Accepts Medicare180 mi
Dermatology
NPI 1619293891
1595 E RIVER RD STE 201
Tucson, AZ 85718
(520) 293-5757
✔ PECOS✔ Accepts Medicare180 mi
Dermatology
NPI 1942209887
1595 E RIVER RD SUITE 201
Tucson, AZ 85718
(520) 293-5757
✔ PECOS✔ Accepts Medicare180 mi
Dermatology
NPI 1114903358
1595 E RIVER RD SUITE 201
Tucson, AZ 85718
(520) 293-5757
✔ PECOS✔ Accepts Medicare180 mi
General Surgery
NPI 1912934977
5301 E GRANT RD
Tucson, AZ 85712
(520) 324-6048
✔ PECOS✔ Accepts Medicare184 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 Compliance 03D1048563

Forefront Dermatology, Sc Dba Arizona Dermatology Group, A Forefront Derm Pract · Prescott, AZ
Active · expires Jul 25, 2028
CLIA Number03D1048563
Laboratory TypePhysician Office
Certificate Effective DateJuly 26, 2026
Certificate Expiration DateJuly 25, 2028
Laboratory DirectorRay W. Johnson
Laboratory Phone(928) 777-5800
Laboratory LocationForefront Dermatology, Sc Dba Arizona Dermatology Group, A Forefront Derm Pract820 Ainsworth Dr Ste A, Prescott, AZ 86301
CLIA data matches this NPI record on: 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 1376208868. It was assigned to this organization in the NPPES registry on November 1, 2021. The provider is doing business as Arizona Dermatology Group, A Forefront Dermatology Practice.

Where is Forefront Dermatology, S.C. located?

Forefront Dermatology, S.C. is located at 830 Ainsworth Dr, Prescott, AZ 86301. The listed phone number is (928) 777-5800.

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), 15 clinicians in 4 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 (11), Nurse Practitioner (2) and General Surgery (1). Of these, 3 practice at this address. 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 03D1048563) is associated with this NPI, valid through July 25, 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 Ambetter from Arizona Complete Health, Cigna HealthCare of Arizona, Inc, Cigna HealthCare of Florida, Inc. and Cigna Healthcare 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 February 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.