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REGIONAL DERMATOLOGY, LLC
NPI 1396064879
Dermatology in Festus, MO

Active since May 24, 2010
1463 HIGHWAY 61, SUITE B, FESTUS, MO 63028(636) 933-7600(636) 933-5900 Get Directions Write a Review

NPPES record last updated: May 24, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Regional Dermatology, Llc NPPES

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

REGIONAL DERMATOLOGY, LLC (NPI 1396064879) is a healthcare organization registered as a dermatology in Festus, Missouri and active in the NPI registry since May 2010. The organization lists Sarah L Jensen, Owner, as its authorized official.

NPPES Registry Identity

NPI1396064879
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameREGIONAL DERMATOLOGY, LLC
Location Address1463 HIGHWAY 61, SUITE BFestus, MO 63028-4109
Mailing Address1463 Highway 61, Suite BFestus, MO 63028-4109 · (636) 933-7600 · Fax (636) 933-5900
Phone(636) 933-7600
Fax(636) 933-5900
Organization SubpartNo
Authorized OfficialSarah L JensenOwner · (636) 933-7600
Enumeration DateMay 24, 2010
✔ NPI 1396064879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in MO · 2006031051
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.
1463 HIGHWAY 61, Festus, MO 63028
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Other Identifiers 3

Medicaid206872806MO
Medicare PIN962801696MO
Medicare UPINI68577MO

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

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Medica.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)

Regional Dermatology, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Regional Dermatology, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Andrea Bova
Nurse Practitioner
NPI 1740652296
1463 HWY 61 SUITE B
Festus, MO 63028
(636) 933-7600
✔ PECOSSame address
Sarah Jensen, M.D.
Dermatology
NPI 1639119175
1463 HWY 61 SUITE B
Festus, MO 63028
(636) 933-7600
✔ PECOS✔ Accepts Medicare0.1 mi

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 Regional Dermatology, LLC's NPI number?

The NPI number for Regional Dermatology, LLC is 1396064879. It was assigned to this organization in the NPPES registry on May 24, 2010.

Where is Regional Dermatology, LLC located?

Regional Dermatology, LLC is located at 1463 Highway 61 Suite B, Festus, MO 63028. The listed phone number is (636) 933-7600.

What is Regional Dermatology, LLC's specialty?

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

Is Regional Dermatology, LLC enrolled in Medicare?

Yes. Regional Dermatology, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Regional Dermatology, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Regional Dermatology, LLC, in Dermatology and Nurse Practitioner. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Regional Dermatology, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield and Medica list Regional Dermatology, LLC 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 Regional Dermatology, LLC was last updated on May 24, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.