MY DERMATOLOGY & COSMETIC CENTER LLC
NPI 1427712439
Nurse Practitioner - Family in Clearwater, FL

Active since October 26, 2021
818 CHESTNUT ST, CLEARWATER, FL 33756(727) 295-7223(727) 325-1060 Get Directions Write a Review

NPPES record last updated: October 26, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About My Dermatology & Cosmetic Center Llc NPPES

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

MY DERMATOLOGY & COSMETIC CENTER LLC (NPI 1427712439) is a healthcare organization registered as a family in Clearwater, Florida and active in the NPI registry since October 2021. The organization lists Hart Meyrich, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1427712439
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameMY DERMATOLOGY & COSMETIC CENTER LLC
Location Address818 CHESTNUT STClearwater, FL 33756-5642
Mailing Address818 Chestnut StClearwater, FL 33756-5642 · (727) 295-7223 · Fax (727) 325-1060
Fax(727) 325-1060
Organization SubpartNo
Authorized OfficialHart MeyrichBusiness Manager · (407) 340-9039
Enumeration DateOctober 26, 2021
NPPES CertifiedOctober 26, 2021
✔ NPI 1427712439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
818 CHESTNUT ST, Clearwater, FL 33756

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

My Dermatology & Cosmetic Center Llc 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 My Dermatology & Cosmetic Center LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1528583788
2919 26TH ST W
Bradenton, FL 34205
(941) 755-2255
✔ PECOS✔ Accepts Medicare36 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 My Dermatology & Cosmetic Center LLC's NPI number?

The NPI number for My Dermatology & Cosmetic Center LLC is 1427712439. It was assigned to this organization in the NPPES registry on October 26, 2021.

Where is My Dermatology & Cosmetic Center LLC located?

My Dermatology & Cosmetic Center LLC is located at 818 Chestnut St, Clearwater, FL 33756. The listed phone number is (727) 295-7223.

What is My Dermatology & Cosmetic Center LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is My Dermatology & Cosmetic Center LLC enrolled in Medicare?

Yes. My Dermatology & Cosmetic Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through My Dermatology & Cosmetic Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to My Dermatology & Cosmetic Center 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.

When was this NPI record last updated?

The NPPES record for My Dermatology & Cosmetic Center LLC was last updated on October 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.