HEARTLAND DERMATOLOGY AND SKIN CANCER CENTER, PA
NPI 1538135207
Dermatology in Salina, KS

Active since February 23, 2006CLIA Certified · 6 labs
828 ELMHURST BLVD, SALINA, KS 67401(785) 827-2500(785) 827-2515 Get Directions Write a Review

NPPES record last updated: October 21, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Heartland Dermatology And Skin Cancer Center, Pa NPPES

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

HEARTLAND DERMATOLOGY AND SKIN CANCER CENTER, PA (NPI 1538135207), doing business as Heartland Dermatology Center, Pa, is a healthcare organization registered as a dermatology in Salina, Kansas and active in the NPI registry since February 2006. The organization holds 6 active CLIA laboratory certificates and lists Matthew P Shaffer, President, as its authorized official.

NPPES Registry Identity

NPI1538135207
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameHEARTLAND DERMATOLOGY AND SKIN CANCER CENTER, PA
Location Address828 ELMHURST BLVDSalina, KS 67401-7406
Mailing Address9300 E 29th St N Ste 310Wichita, KS 67226-2160 · (316) 612-1833 · Fax (316) 612-2420
Fax(785) 827-2515
Organization SubpartNo
Authorized OfficialMatthew P ShafferPresident · (785) 577-4448
Enumeration DateFebruary 23, 2006
Last NPPES UpdateOctober 21, 2025
NPPES CertifiedOctober 21, 2025
✔ NPI 1538135207 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.
828 ELMHURST BLVD, Salina, KS 67401

Other Names 1

Former Legal Business NameHeartland Dermatology Center, Pa

Other Identifiers 5

Other110061KS · Bcbs (great Bend Location
Other110942KS · Bcbs (salina Location)
Other623450KS · First Guard
Other110060KS · Bcbs (hays Location)
OtherC54705KS · Railroad Medicare

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Heartland Dermatology And Skin Cancer Center, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

19

Medicare enrollment records show 19 clinicians reassign Medicare billing to Heartland Dermatology And Skin Cancer Center, PA, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians by Medicare Specialty 4

Nurse Practitioner10
Dermatology6
Micrographic Dermatologic Surgery (MDS)2
Plastic and Reconstructive Surgery1

Clinicians, nearest first (19)

Nurse Practitioner
NPI 1346732336
828 ELMHURST BLVD
Salina, KS 67401
(785) 827-2500
✔ PECOS✔ Accepts MedicareSame address
Micrographic Dermatologic Surgery (MDS)
NPI 1487620167
828 ELMHURST BLVD
Salina, KS 67401
(785) 827-2500
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1689515660
828 ELMHURST BLVD
Salina, KS 67401
(785) 827-2500
✔ PECOSSame address
Nurse Practitioner
NPI 1063756765
4201 ANDERSON AVE STE F
Manhattan, KS 66503
(785) 539-4645
✔ PECOS✔ Accepts Medicare57 mi
Dermatology
NPI 1992209472
4201 ANDERSON AVE STE F
Manhattan, KS 66503
(785) 539-4645
✔ PECOS✔ Accepts Medicare57 mi
Nurse Practitioner
NPI 1588224059
1017 JACKSON ST STE C
Great Bend, KS 67530
(620) 792-3666
✔ PECOS✔ Accepts Medicare72 mi
Nurse Practitioner
NPI 1952376709
1017 JACKSON ST STE C
Great Bend, KS 67530
(620) 792-3666
✔ PECOS✔ Accepts Medicare72 mi
Dermatology
NPI 1104122266
13213 W 21ST CT N
Wichita, KS 67235
(316) 612-1833
✔ PECOS✔ Accepts Medicare77 mi
Micrographic Dermatologic Surgery (MDS)
NPI 1326484999
9300 E 29TH ST N STE 320
Wichita, KS 67226
(316) 500-3231
✔ PECOS✔ Accepts Medicare78 mi
Dermatology
NPI 1801526793
9300 E 29TH ST N STE 310
Wichita, KS 67226
(316) 612-1833
✔ PECOS✔ Accepts Medicare78 mi
Dermatology
NPI 1619297769
9300 E 29TH ST N STE 310
Wichita, KS 67226
(316) 612-1833
✔ PECOS✔ Accepts Medicare78 mi
Dermatology
NPI 1134680937
9300 E 29TH ST N STE 310
Wichita, KS 67226
(316) 612-1833
✔ PECOS✔ Accepts Medicare78 mi
Plastic and Reconstructive Surgery
NPI 1487876207
10111 E 21ST ST N STE 305
Wichita, KS 67206
(316) 777-6393
✔ PECOS✔ Accepts Medicare79 mi
Nurse Practitioner
NPI 1780365031
2707 VINE ST STE 10
Hays, KS 67601
(785) 628-3231
✔ PECOS93 mi
Nurse Practitioner
NPI 1962477711
2707 VINE ST STE 10
Hays, KS 67601
(785) 628-3231
✔ PECOS✔ Accepts Medicare93 mi
Nurse Practitioner
NPI 1346618220
2707 VINE ST STE 10
Hays, KS 67601
(785) 628-3231
✔ PECOS✔ Accepts Medicare93 mi
Dermatology
NPI 1679554133
2300 N 14TH AVE STE 104
Dodge City, KS 67801
(620) 225-8865
✔ PECOS✔ Accepts Medicare151 mi
Nurse Practitioner
NPI 1497352439
2051 E MARY ST
Garden City, KS 67846
(620) 277-9092
✔ PECOS✔ Accepts Medicare186 mi
Nurse Practitioner
NPI 1336888130
2051 E MARY ST
Garden City, KS 67846
(620) 277-9092
✔ PECOS✔ Accepts Medicare186 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 6

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 17D1015348

Heartland Dermatology Center, PA · Salina, KS
Active · expires Jan 2, 2027
CLIA Number17D1015348
Laboratory TypePhysician Office
Certificate Effective DateJanuary 3, 2025
Certificate Expiration DateJanuary 2, 2027
Laboratory DirectorMatthew P. Shaffer
Laboratory Phone(785) 827-2500
Laboratory LocationHeartland Dermatology Center, PA828 Elmhurst Blvd, Salina, KS 67401
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 17D1012766

Heartland Dermatology And Skin Cancer Center · Wichita, KS
Active · expires Aug 1, 2028
CLIA Number17D1012766
Laboratory TypePhysician Office
Certificate Effective DateAugust 2, 2026
Certificate Expiration DateAugust 1, 2028
Laboratory DirectorBrandon R. Litzner
Laboratory Phone(316) 612-1833
Laboratory LocationHeartland Dermatology And Skin Cancer Center9300 E 29th Street N Building 300, Wichita, KS 67226
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 17D2177387

Heartland Dermatology And Skin Cancer Center, PA · El Dorado, KS
Active · expires May 10, 2028
CLIA Number17D2177387
Laboratory TypePhysician Office
Certificate Effective DateMay 11, 2026
Certificate Expiration DateMay 10, 2028
Laboratory DirectorBrandon R. Litzner
Laboratory Phone(316) 612-1833
Laboratory LocationHeartland Dermatology And Skin Cancer Center, PA700 W Central, Suite 103, El Dorado, KS 67042
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Compliance 17D1065611

Heartland Dermatology And Skin Cancer Center · Wichita, KS
Active · expires May 9, 2028
CLIA Number17D1065611
Laboratory TypePhysician Office
Certificate Effective DateMay 10, 2026
Certificate Expiration DateMay 9, 2028
Laboratory DirectorBrandon R. Litzner
Laboratory Phone(316) 612-1833
Laboratory LocationHeartland Dermatology And Skin Cancer Center13213 W 21st Court, Wichita, KS 67235
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 17D0449872

Heartland Dermatology · Manhattan, KS
Active · expires Feb 25, 2028
CLIA Number17D0449872
Laboratory TypePhysician Office
Certificate Effective DateFebruary 26, 2026
Certificate Expiration DateFebruary 25, 2028
Laboratory DirectorJace J. Rickstrew
Laboratory Phone(316) 612-1833
Laboratory LocationHeartland Dermatology4201 Anderson Ave Suite F, Manhattan, KS 66503
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 17D2213134

Heartland Dermatology And Skin Cancer Center PA · Newton, KS
Active · expires Apr 11, 2027
CLIA Number17D2213134
Laboratory TypePhysician Office
Certificate Effective DateApril 12, 2025
Certificate Expiration DateApril 11, 2027
Laboratory DirectorBrandon R. Litzner
Laboratory Phone(316) 612-1833
Laboratory LocationHeartland Dermatology And Skin Cancer Center PA1715 Medical Parkway, Suite D1, Newton, KS 67114
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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 Heartland Dermatology And Skin Cancer Center, PA's NPI number?

The NPI number for Heartland Dermatology And Skin Cancer Center, PA is 1538135207. It was assigned to this organization in the NPPES registry on February 23, 2006. The provider was formerly known as Heartland Dermatology Center, PA.

Where is Heartland Dermatology And Skin Cancer Center, PA located?

Heartland Dermatology And Skin Cancer Center, PA is located at 828 Elmhurst Blvd, Salina, KS 67401. The listed phone number is (785) 827-2500.

What is Heartland Dermatology And Skin Cancer Center, PA's specialty?

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

Is Heartland Dermatology And Skin Cancer Center, PA enrolled in Medicare?

Yes. Heartland Dermatology And Skin Cancer Center, PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Heartland Dermatology And Skin Cancer Center, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 19 clinicians in 4 Medicare specialties reassign their Medicare billing to Heartland Dermatology And Skin Cancer Center, PA. 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 Nurse Practitioner (10), Dermatology (6) and Micrographic Dermatologic Surgery (MDS) (2). Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Heartland Dermatology And Skin Cancer Center, PA hold CLIA laboratory certificates?

Yes. 6 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Heartland Dermatology And Skin Cancer Center, PA accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Blue Cross and Blue Shield of Kansas, Inc. list Heartland Dermatology And Skin Cancer Center, PA 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 Heartland Dermatology And Skin Cancer Center, PA was last updated on October 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.