DERMATOLOGY & LASER CENTER NW
NPI 1376648717
Dermatology in Bellingham, WA

Active since September 13, 2006
905 SQUALICUM WAY STE 101, BELLINGHAM, WA 98225(360) 676-1470(360) 676-0377 Get Directions Write a Review

NPPES record last updated: July 11, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dermatology & Laser Center Nw NPPES

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

DERMATOLOGY & LASER CENTER NW (NPI 1376648717) is a healthcare organization registered as a dermatology in Bellingham, Washington and active in the NPI registry since September 2006. The organization lists Aubrey Glasser, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1376648717
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameDERMATOLOGY & LASER CENTER NW
Location Address905 SQUALICUM WAY STE 101Bellingham, WA 98225-2076
Mailing Address905 Squalicum Way, Ste. 101Bellingham, WA 98225 · (360) 676-1470 · Fax (360) 676-0377
Fax(360) 676-0377
Organization SubpartNo
Authorized OfficialAubrey GlasserPractice Manager · (360) 676-1470
Enumeration DateSeptember 13, 2006
Last NPPES UpdateJuly 11, 2024
NPPES CertifiedJuly 11, 2024
✔ NPI 1376648717 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.
905 SQUALICUM WAY STE 101, Bellingham, WA 98225

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

Accepted Insurance

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 & Laser Center Nw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

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.

StateEnrollment IDDue date
StateWashingtonEnrollment IDO20040329000501Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Dermatology & Laser Center NW, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Nurse Practitioner
NPI 1457716995
905 SQUALICUM WAY STE 101
Bellingham, WA 98225
(360) 676-1470
✔ PECOSSame address
Dermatology
NPI 1053428490
905 SQUALICUM WAY SUITE 101
Bellingham, WA 98225
(360) 676-1470
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1215179502
905 SQUALICUM WAY STE 101
Bellingham, WA 98225
(360) 676-1470
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1013012459
905 SQUALICUM WAY STE 101
Bellingham, WA 98225
(360) 676-1470
✔ PECOSSame address

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 & Laser Center NW's NPI number?

The NPI number for Dermatology & Laser Center NW is 1376648717. It was assigned to this organization in the NPPES registry on September 13, 2006.

Where is Dermatology & Laser Center NW located?

Dermatology & Laser Center NW is located at 905 Squalicum Way Ste 101, Bellingham, WA 98225. The listed phone number is (360) 676-1470.

What is Dermatology & Laser Center NW's specialty?

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

Is Dermatology & Laser Center NW enrolled in Medicare?

Yes. Dermatology & Laser Center NW is registered in the Medicare PECOS enrollment system.

When is Dermatology & Laser Center NW'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 (Washington, Clinic/Group Practice) is due for revalidation by November 30, 2026. 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 & Laser Center NW?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Dermatology & Laser Center NW. 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 (3) and Nurse Practitioner (1). Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Dermatology & Laser Center NW accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Dermatology & Laser Center NW 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 Dermatology & Laser Center NW was last updated on July 11, 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.