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VITALSKIN MEDICAL GROUP IL PLLC
NPI 1477297083
Dermatology in New Albany, IN

Active since April 21, 2022CLIA 15D0935037 · Certificate of Compliance
2857 CHARLESTOWN RD STE 100, NEW ALBANY, IN 47150(129) 447-5008 Get Directions Write a Review

NPPES record last updated: August 12, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 12, 2024, May 4, 2022, Apr 21, 2022 (3 updates tracked since 2022).

About Vitalskin Medical Group Il Pllc NPPES

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

VITALSKIN MEDICAL GROUP IL PLLC (NPI 1477297083) is a healthcare organization registered as a dermatology in New Albany, Indiana and active in the NPI registry since April 2022. The organization holds a CLIA Certificate of Compliance certificate valid through July 21, 2028, maintains 5 additional practice locations, and lists Dan Wiens, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1477297083
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameVITALSKIN MEDICAL GROUP IL PLLC
Location Address2857 CHARLESTOWN RD STE 100New Albany, IN 47150-1998
Mailing Address1111 W Kenyon RdUrbana, IL 61801-1010 · (858) 735-4059
Phone(129) 447-5008
Organization SubpartNo
Authorized OfficialDan WiensChief Financial Officer · (704) 534-1854
Enumeration DateApril 21, 2022
Last NPPES UpdateAugust 12, 20243 updates tracked since enumeration
NPPES CertifiedAugust 12, 2024
✔ NPI 1477297083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
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.
2857 CHARLESTOWN RD STE 100, New Albany, IN 47150
Open in Google Maps ↗

Secondary Practice Locations 5

Location 113802 Lake Point Cir Ste 102Louisville, KY 40223-4219 · Phone (502) 245-4450
Location 2114 Manor AveBardstown, KY 40004-3230 · Phone (573) 644-4066
Location 313802 Lake Point Cir Ste 201Louisville, KY 40223-4219 · Phone (502) 245-4450
Location 4825 University Woods Dr Ste 8New Albany, IN 47150-2427 · Phone (812) 944-7500
Location 57931 Bardstown RdLouisville, KY 40291-3437 · Phone (502) 349-9999 · Fax (502) 349-9499

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.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)

Vitalskin Medical Group Il Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

25

Medicare enrollment records show 25 clinicians reassign Medicare billing to Vitalskin Medical Group Il PLLC, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 14 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Dermatology12
Nurse Practitioner10
Micrographic Dermatologic Surgery (MDS)1
Oral Surgery1
Pathology1

Nearest to this location (20)

See all 25
Shea Wesley, NP
Nurse Practitioner
NPI 1932817228
2857 CHARLESTOWN RD
New Albany, IN 47150
(812) 944-7500
✔ PECOS✔ Accepts MedicareSame address
Duane Banet, M.D.
Dermatology
NPI 1245211937
2857 CHARLESTOWN RD STE 100
New Albany, IN 47150
(812) 944-7500
✔ PECOSSame address
Ryan Bogner, M.D.
Dermatology
NPI 1225440324
2857 CHARLESTOWN RD STE 100
New Albany, IN 47150
(812) 944-7500
✔ PECOS✔ Accepts MedicareSame address
Emily Miller, ARNP
Nurse Practitioner
NPI 1528396207
2857 CHARLESTOWN RD STE 100
New Albany, IN 47150
(812) 944-7500
✔ PECOS✔ Accepts MedicareSame address
Ashley Reader, D.O.
Dermatology
NPI 1740638949
2857 CHARLESTOWN RD STE 100
New Albany, IN 47150
(812) 944-7500
✔ PECOS✔ Accepts MedicareSame address
Kathy Dianne Warinner-Spencer, NP
Nurse Practitioner
NPI 1972818490
2857 CHARLESTOWN RD STE 100
New Albany, IN 47150
(812) 944-7500
✔ PECOSSame address
John Bernardi, M.D.
Dermatology
NPI 1376730275
310 E BROADWAY SUITE 200
Louisville, KY 40202
(502) 585-5249
✔ PECOS✔ Accepts Medicare6.6 mi
Clint Tucker, MD
Dermatology
NPI 1629394713
310 E BROADWAY SUITE 200
Louisville, KY 40202
(502) 585-5249
✔ PECOS✔ Accepts Medicare6.6 mi
Logan Turner, M.D.
Dermatology
NPI 1679742290
310 E BROADWAY SUITE 200
Louisville, KY 40202
(502) 585-5249
✔ PECOS✔ Accepts Medicare6.6 mi
Mark Waldman, MD
Dermatology
NPI 1811990096
310 E BROADWAY STE 200
Louisville, KY 40202
(502) 585-5249
✔ PECOS✔ Accepts Medicare6.6 mi
Alexandra Leis, NP-C
Nurse Practitioner
NPI 1083099741
310 E BROADWAY STE 200
Louisville, KY 40202
(502) 585-5249
✔ PECOS✔ Accepts Medicare6.6 mi
George Sonnier, M.D.
Dermatology
NPI 1861495046
310 E BROADWAY STE 200
Louisville, KY 40202
(502) 585-5249
✔ PECOS✔ Accepts Medicare6.6 mi
Paul Fearneyhough, M.D.
Pathology
NPI 1396858544
839 S 2ND ST
Louisville, KY 40203
(502) 456-6217
✔ PECOS✔ Accepts Medicare6.7 mi
Sydney Newton, APRN
Nurse Practitioner
NPI 1912383480
3 AUDUBON PLAZA DR SUITE 630
Louisville, KY 40217
(502) 326-8588
✔ PECOS✔ Accepts Medicare9.2 mi
Wallace Fox, APRN
Nurse Practitioner
NPI 1043731615
1400 MAIN ST UNIT 177
Clarksville, IN 47129
(812) 946-2674
✔ PECOS✔ Accepts Medicare11 mi
Stephanie Byrne, APRN
Nurse Practitioner
NPI 1386192300
13802 LAKE POINT CIR STE 102
Louisville, KY 40223
(502) 245-4450
✔ PECOS✔ Accepts Medicare17 mi
Natalie Daniels, M.D.
Dermatology
NPI 1396880019
13802 LAKE POINT CIR STE 201
Louisville, KY 40223
(502) 245-4450
✔ PECOS✔ Accepts Medicare17 mi
Hope Steinforth, NP
Nurse Practitioner
NPI 1497443394
13802 LAKE POINT CIR STE 102
Louisville, KY 40223
(502) 245-4450
✔ PECOS✔ Accepts Medicare17 mi
Alan Gould, DDS, MS
Oral Surgery
NPI 1043229545
5805 W HIGHWAY 22
Crestwood, KY 40014
(502) 241-7116
✔ PECOS19 mi
Theresa Harris, ARNP
Nurse Practitioner
NPI 1639272776
114 MANOR AVE
Bardstown, KY 40004
(502) 349-9999
✔ PECOS✔ Accepts Medicare42 mi
See all 25 clinicians

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 Compliance 15D0935037

Vitalskin Medical Group PLLC, Dba Dermatology Center, The · New Albany, IN
Active · expires Jul 21, 2028
CLIA Number15D0935037
Laboratory TypePhysician Office
Certificate Effective DateJuly 22, 2026
Certificate Expiration DateJuly 21, 2028
Laboratory DirectorScott L. Zahner
Laboratory Phone(812) 944-7500
Laboratory LocationVitalskin Medical Group PLLC, Dba Dermatology Center, The2857 Charlestown Rd, Ste 100, New Albany, IN 47150
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Vitalskin Medical Group Il PLLC's NPI number?

The NPI number for Vitalskin Medical Group Il PLLC is 1477297083. It was assigned to this organization in the NPPES registry on April 21, 2022.

Where is Vitalskin Medical Group Il PLLC located?

Vitalskin Medical Group Il PLLC is located at 2857 Charlestown Rd Ste 100, New Albany, IN 47150. The listed phone number is (129) 447-5008.

What is Vitalskin Medical Group Il PLLC's specialty?

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

Is Vitalskin Medical Group Il PLLC enrolled in Medicare?

Yes. Vitalskin Medical Group Il PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Vitalskin Medical Group Il PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 25 clinicians in 5 Medicare specialties reassign their Medicare billing to Vitalskin Medical Group Il PLLC. 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. The largest specialties are Dermatology (12), Nurse Practitioner (10) and Micrographic Dermatologic Surgery (MDS) (1). Of these, 6 practice at this address and 14 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Vitalskin Medical Group Il PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 15D0935037) is associated with this NPI, valid through July 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Vitalskin Medical Group Il PLLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Vitalskin Medical Group Il PLLC 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 Vitalskin Medical Group Il PLLC was last updated on August 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.