VITAL DERMATOLOGY
NPI 1386289585
Dermatology in Pensacola, FL
About Vital Dermatology NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VITAL DERMATOLOGY (NPI 1386289585) is a healthcare organization registered as a dermatology in Pensacola, Florida and active in the NPI registry since November 2019. The organization holds a CLIA Waiver certificate valid through March 24, 2027 and lists Jenna Beasley, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Vital Dermatology 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 Vital Dermatology, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 10D2218056
Vital Dermatology LLC · Pensacola, FLFrequently 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 Vital Dermatology LLC's NPI number?
The NPI number for Vital Dermatology LLC is 1386289585. It was assigned to this organization in the NPPES registry on November 12, 2019. The provider is doing business as Vital Dermatology.
Where is Vital Dermatology LLC located?
Vital Dermatology LLC is located at 6202 N 9th Ave Ste 2, Pensacola, FL 32504. The listed phone number is (850) 888-2424.
What is Vital Dermatology LLC's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Vital Dermatology LLC enrolled in Medicare?
Yes. Vital Dermatology LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Vital Dermatology LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Vital Dermatology 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.
Does Vital Dermatology LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2218056) is associated with this NPI, valid through March 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Vital Dermatology LLC was last updated on May 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.