WK DERMATOLOGY CLINIC
NPI 1538372883
Dermatology in Bossier City, LA
About Wk Dermatology Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WK DERMATOLOGY CLINIC (NPI 1538372883) is a healthcare organization registered as a dermatology in Bossier City, Louisiana and active in the NPI registry since May 2007. The organization maintains a secondary practice location in Shreveport and lists Mary Jane Ward, Senior Vp Finance, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Wk Dermatology Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Wk Dermatology Clinic, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.
Clinicians, nearest first (4)
Bossier City, LA 71111
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 Wk Dermatology Clinic's NPI number?
The NPI number for Wk Dermatology Clinic is 1538372883. It was assigned to this organization in the NPPES registry on May 7, 2007.
Where is Wk Dermatology Clinic located?
Wk Dermatology Clinic is located at 2300 Hospital Dr Suite 400, Bossier City, LA 71111. The listed phone number is (318) 212-7800.
What is Wk Dermatology Clinic's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Wk Dermatology Clinic enrolled in Medicare?
Yes. Wk Dermatology Clinic is registered in the Medicare PECOS enrollment system.
When is Wk Dermatology Clinic's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Louisiana, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Wk Dermatology Clinic?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Dermatology, reassign their Medicare billing to Wk Dermatology Clinic. 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, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Wk Dermatology Clinic accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 1 other insurer list Wk Dermatology Clinic 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 Wk Dermatology Clinic was last updated on February 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Wk Dermatology Clinic · NPI 1538372883
Dermatology organization in Bossier City, Louisiana. Organization record, active in the CMS NPPES registry since May 7, 2007.
## Identity
- **NPI:** 1538372883 (Entity type: Organization)
- **Enumerated:** May 7, 2007
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Organization subpart:** No
- **Authorized official:** Mary Ward, SENIOR VP FINANCE
## Practice location
- **Address:** 2300 HOSPITAL DR, SUITE 400, Bossier City, LA 71111-2394
- **Phone:** (318) 212-7800 · **Fax:** (318) 212-7805
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Louisiana, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 4 clinicians (Dermatology) reassign Medicare billing to this organization (form CMS-855R); 4 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 26, 2019
---
Source: [NPI Profile](https://npiprofile.com/npi/1538372883) · Data from the CMS NPPES public registry.