FOREFRONT DERMATOLOGY, S.C.
NPI 1528951035
Plastic Surgery in Minneapolis, MN

Q: What is Forefront Dermatology, S.C.'s NPI number?

The NPI number for Forefront Dermatology, S.C. is 1528951035. It was assigned to this organization in the NPPES registry on June 2, 2025. The provider is doing business as dba Minneapolis Plastic Surgery, A Forefront Practice.

Q: What is Forefront Dermatology, S.C.'s specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Active since June 02, 2025CLIA 24D2207524 · Waiver

4825 OLSON MEMORIAL HWY STE 200, MINNEAPOLIS, MN 55422(763) 545-0443(763) 545-2784 Get Directions Write a Review

NPPES record last updated: June 3, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Forefront Dermatology, S.c. NPPES

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

FOREFRONT DERMATOLOGY, S.C. (NPI 1528951035), doing business as Dba Minneapolis Plastic Surgery, A Forefront Practice, is a healthcare organization registered as a plastic surgery in Minneapolis, Minnesota and active in the NPI registry since June 2025. The organization holds a CLIA Waiver certificate valid through June 27, 2027 and lists Betsy J Wernli, President, as its authorized official.

NPPES Registry Identity

NPI1528951035

Entity TypeOrganization

Primary Taxonomy208200000X

Legal Business NameFOREFRONT DERMATOLOGY, S.C.

Location Address4825 OLSON MEMORIAL HWY STE 200Minneapolis, MN 55422-5141

Mailing Address801 York StManitowoc, WI 54220-4630 · (920) 663-9008 · Fax (920) 684-1439

Phone(763) 545-0443

Fax(763) 545-2784

Organization SubpartNo

Authorized OfficialBetsy J WernliPresident · (920) 482-0671

Enumeration DateJune 2, 2025

Last NPPES UpdateJune 3, 2025

NPPES CertifiedJune 3, 2025

✔ NPI 1528951035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Also ListedOtolaryngology · Otolaryngology/Facial Plastic SurgeryTaxonomy 207YX0905X

Also ListedSurgery · Plastic and Reconstructive SurgeryTaxonomy 2086S0122X

4825 OLSON MEMORIAL HWY STE 200, Minneapolis, MN 55422

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Other Names 1

Doing Business AsDba Minneapolis Plastic Surgery, A Forefront Practice

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Forefront Dermatology, S.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Forefront Dermatology, S.C., which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Rachelle Eljazzar, MD

Plastic and Reconstructive Surgery

NPI 1982261525

4825 OLSON MEMORIAL HWY STE 200
Minneapolis, MN 55422

(763) 545-0443

✔ PECOS✔ Accepts MedicareSame address

Diana Cohen, M.D.

Dermatology

NPI 1467896498

1610 MAXWELL DR STE 210
Hudson, WI 54016

(715) 386-5278

✔ PECOS✔ Accepts Medicare31 mi

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 Waiver 24D2207524

Forefront Dermatology, Sc Dba Minneapolis Plastic Surgery, A Forefront Dermatology Practice · Golden Valley, MN

Active · expires Jun 27, 2027

CLIA Number24D2207524

Laboratory TypePhysician Office

Certificate Effective DateJune 28, 2025

Certificate Expiration DateJune 27, 2027

Laboratory DirectorDouglas Gervais

Laboratory Phone(763) 545-0443

Laboratory LocationForefront Dermatology, Sc Dba Minneapolis Plastic Surgery, A Forefront Dermatology Practice4825 Olson Memorial Hwy Ste 200, Golden Valley, MN 55422

CLIA data matches this NPI record on: Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Forefront Dermatology, S.C.'s NPI number?

The NPI number for Forefront Dermatology, S.C. is 1528951035. It was assigned to this organization in the NPPES registry on June 2, 2025. The provider is doing business as dba Minneapolis Plastic Surgery, A Forefront Practice.

Where is Forefront Dermatology, S.C. located?

Forefront Dermatology, S.C. is located at 4825 Olson Memorial Hwy Ste 200, Minneapolis, MN 55422. The listed phone number is (763) 545-0443.

What is Forefront Dermatology, S.C.'s specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Forefront Dermatology, S.C. enrolled in Medicare?

Yes. Forefront Dermatology, S.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Forefront Dermatology, S.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Forefront Dermatology, S.C., in Dermatology and Plastic and Reconstructive Surgery. 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.

Does Forefront Dermatology, S.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2207524) is associated with this NPI, valid through June 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Forefront Dermatology, S.C. was last updated on June 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.