HEARTHSTONE DERMATOLOGY NONPROFIT PROFESSIONAL SERVICES
NPI 1477169753
Voluntary or Charitable in Mccleary, WA
About Hearthstone Dermatology Nonprofit Professional Services NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HEARTHSTONE DERMATOLOGY NONPROFIT PROFESSIONAL SERVICES (NPI 1477169753) is a healthcare organization registered as a voluntary or charitable in Mccleary, Washington and active in the NPI registry since September 2020. The organization lists Geneva Tzenov, Ceo-administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 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)
Hearthstone Dermatology Nonprofit Professional Services 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 Hearthstone Dermatology Nonprofit Professional Services, 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.
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 Hearthstone Dermatology Nonprofit Professional Services's NPI number?
The NPI number for Hearthstone Dermatology Nonprofit Professional Services is 1477169753. It was assigned to this organization in the NPPES registry on September 22, 2020.
Where is Hearthstone Dermatology Nonprofit Professional Services located?
Hearthstone Dermatology Nonprofit Professional Services is located at 828 Mox Chehalis Rd, Mccleary, WA 98557. The listed phone number is (360) 470-0671.
What is Hearthstone Dermatology Nonprofit Professional Services's specialty?
The primary specialty registered for this NPI is Voluntary or Charitable with taxonomy code 251V00000X.
Is Hearthstone Dermatology Nonprofit Professional Services enrolled in Medicare?
Yes. Hearthstone Dermatology Nonprofit Professional Services is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Hearthstone Dermatology Nonprofit Professional Services?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Hearthstone Dermatology Nonprofit Professional Services. 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 Hearthstone Dermatology Nonprofit Professional Services was last updated on September 22, 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.
# Hearthstone Dermatology Nonprofit Professional Services · NPI 1477169753
Voluntary or Charitable organization in Mccleary, Washington. Organization record, active in the CMS NPPES registry since September 22, 2020.
## Identity
- **NPI:** 1477169753 (Entity type: Organization)
- **Enumerated:** September 22, 2020
- **Primary specialty:** Voluntary or Charitable · taxonomy 251V00000X
- **Organization subpart:** No
- **Authorized official:** Geneva Tzenov, CEO-ADMINISTRATOR
## Practice location
- **Address:** 828 MOX CHEHALIS RD, Mccleary, WA 98557-9408
- **Phone:** (360) 470-0671 · **Fax:** (360) 464-2617
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 22, 2020
- **Other identifiers:** Medicaid 2012498 (WA)
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Source: [NPI Profile](https://npiprofile.com/npi/1477169753) · Data from the CMS NPPES public registry.