ADVANCED DERMATOLOGY OF WYOMING, INC
NPI 1427408319
Dermatology in Jackson, WY
About Advanced Dermatology Of Wyoming, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ADVANCED DERMATOLOGY OF WYOMING, INC (NPI 1427408319) is a healthcare organization registered as a dermatology in Jackson, Wyoming and active in the NPI registry since June 2016. The organization lists Linda Crandall, Credentialing Coordinator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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)
Advanced Dermatology Of Wyoming, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Advanced Dermatology Of Wyoming, Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (6)
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 Advanced Dermatology Of Wyoming, Inc's NPI number?
The NPI number for Advanced Dermatology Of Wyoming, Inc is 1427408319. It was assigned to this organization in the NPPES registry on June 21, 2016.
Where is Advanced Dermatology Of Wyoming, Inc located?
Advanced Dermatology Of Wyoming, Inc is located at 62 South Redmond Street, Jackson, WY 83001. The listed phone number is (307) 734-5864.
What is Advanced Dermatology Of Wyoming, Inc's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Advanced Dermatology Of Wyoming, Inc enrolled in Medicare?
Yes. Advanced Dermatology Of Wyoming, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Advanced Dermatology Of Wyoming, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians, all in Dermatology, reassign their Medicare billing to Advanced Dermatology Of Wyoming, Inc. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Advanced Dermatology Of Wyoming, Inc accept?
Health plans from Blue Cross Blue Shield of Wyoming list Advanced Dermatology Of Wyoming, Inc 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 Advanced Dermatology Of Wyoming, Inc was last updated on October 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.