FOREFRONT DERMATOLOGY SC
NPI 1578097572
Dermatology in Fort Wayne, IN

Active since April 17, 2017CLIA 15D1020689 · Certificate of Compliance
4020 NEW VISION DR, FORT WAYNE, IN 46845(260) 423-2567(260) 420-2415 Get Directions Write a Review

NPPES record last updated: August 28, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 28, 2026, May 17, 2018, Mar 20, 2018 and 1 more (4 updates tracked since 2017).

About Forefront Dermatology Sc NPPES

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

FOREFRONT DERMATOLOGY SC (NPI 1578097572) is a healthcare organization registered as a dermatology in Fort Wayne, Indiana and active in the NPI registry since April 2017. The organization holds a CLIA Certificate of Compliance certificate valid through March 3, 2027 and lists Betsy J Wernli, President, as its authorized official.

NPPES Registry Identity

NPI1578097572
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameFOREFRONT DERMATOLOGY SC
Location Address4020 NEW VISION DRFort Wayne, IN 46845-1737
Mailing Address801 York StManitowoc, WI 54220-4630 · (920) 663-9008 · Fax (920) 684-1439
Fax(260) 420-2415
Organization SubpartNo
Authorized OfficialBetsy J WernliPresident · (920) 482-0671
Enumeration DateApril 17, 2017
Last NPPES UpdateAugust 28, 20264 updates tracked since enumeration
NPPES CertifiedAugust 28, 2026
✔ NPI 1578097572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.
Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X
4020 NEW VISION DR, Fort Wayne, IN 46845

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

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)

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

Clinicians Billing Medicare Through This Organization

28

Medicare enrollment records show 28 clinicians reassign Medicare billing to Forefront Dermatology Sc, which bills Medicare for the services they deliver. Of these, 5 practice at this address. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 2

Dermatology19
Nurse Practitioner9

Nearest to this location (20)

See all 28
Nurse Practitioner
NPI 1306498241
4020 NEW VISION DR
Fort Wayne, IN 46845
(260) 423-2567
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1992069462
4020 NEW VISION DR
Fort Wayne, IN 46845
(260) 423-2567
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1497515720
4020 NEW VISION DR
Fort Wayne, IN 46845
(260) 423-2567
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1760756191
4020 NEW VISION DR
Fort Wayne, IN 46845
(260) 423-2567
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1083277362
4020 NEW VISION DR
Fort Wayne, IN 46845
(260) 425-2597
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1265648299
535 S BURDICK ST STE 256
Kalamazoo, MI 49007
(269) 290-1901
✔ PECOS✔ Accepts Medicare81 mi
Dermatology
NPI 1164003950
17471 WHEELER RD STE 114
Westfield, IN 46074
(317) 912-1377
✔ PECOS✔ Accepts Medicare96 mi
Dermatology
NPI 1760700918
755 W CARMEL DR SUITE 101
Carmel, IN 46032
(317) 846-2396
✔ PECOS✔ Accepts Medicare101 mi
Dermatology
NPI 1528359668
755 W CARMEL DR STE 101
Carmel, IN 46032
(317) 846-2396
✔ PECOS✔ Accepts Medicare101 mi
Nurse Practitioner
NPI 1376959692
6320 N COLLEGE AVE
Indianapolis, IN 46220
(317) 348-3160
✔ PECOS✔ Accepts Medicare106 mi
Dermatology
NPI 1033671086
6320 N COLLEGE AVE
Indianapolis, IN 46220
(317) 348-3160
✔ PECOS✔ Accepts Medicare106 mi
Dermatology
NPI 1841418035
70 W 94TH PL
Crown Point, IN 46307
(219) 662-8822
✔ PECOS✔ Accepts Medicare118 mi
Dermatology
NPI 1366635310
8325 S EMERSON AVE STE C1
Indianapolis, IN 46237
(317) 780-7400
✔ PECOS✔ Accepts Medicare118 mi
Nurse Practitioner
NPI 1942566021
955 N MICHIGAN AVE STE 81
Greensburg, IN 47240
(812) 222-0202
✔ PECOS✔ Accepts Medicare129 mi
Nurse Practitioner
NPI 1336819937
955 N MICHIGAN AVE STE 81
Greensburg, IN 47240
(812) 222-0202
✔ PECOS✔ Accepts Medicare129 mi
Dermatology
NPI 1518097237
395 NORTHSIDE DR
Batesville, IN 47006
(812) 932-2387
✔ PECOS✔ Accepts Medicare130 mi
Dermatology
NPI 1114131042
4100 HORIZONS DR STE 101
Columbus, OH 43220
(614) 754-8781
✔ PECOS✔ Accepts Medicare130 mi
Nurse Practitioner
NPI 1932656311
244 WESTWOOD BLVD
Columbus, IN 47201
(812) 669-0141
✔ PECOS✔ Accepts Medicare145 mi
Dermatology
NPI 1417132911
303 S WALNUT ST
Seymour, IN 47274
(812) 358-7705
✔ PECOS✔ Accepts Medicare159 mi
Nurse Practitioner
NPI 1598113433
501 S 2ND ST
Louisville, KY 40202
(502) 583-7546
✔ PECOS✔ Accepts Medicare206 mi
See all 28 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 15D1020689

Forefront Dermatology, Sc · Fort Wayne, IN
Active · expires Mar 3, 2027
CLIA Number15D1020689
Laboratory TypePhysician Office
Certificate Effective DateMarch 4, 2025
Certificate Expiration DateMarch 3, 2027
Laboratory DirectorKelly Wilmas
Laboratory Phone(260) 423-2567
Laboratory LocationForefront Dermatology, Sc4020 New Vision Drive, Fort Wayne, IN 46845
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.

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 Sc's NPI number?

The NPI number for Forefront Dermatology Sc is 1578097572. It was assigned to this organization in the NPPES registry on April 17, 2017.

Where is Forefront Dermatology Sc located?

Forefront Dermatology Sc is located at 4020 New Vision Dr, Fort Wayne, IN 46845. The listed phone number is (260) 423-2567.

What is Forefront Dermatology Sc's specialty?

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

Is Forefront Dermatology Sc enrolled in Medicare?

Yes. Forefront Dermatology Sc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Forefront Dermatology Sc?

According to the CMS Revalidation Reassignment List (October 2026 release), 28 clinicians in 2 Medicare specialties reassign their Medicare billing to Forefront Dermatology Sc. 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 (19) and Nurse Practitioner (9). Of these, 5 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Forefront Dermatology Sc hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 15D1020689) is associated with this NPI, valid through March 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Forefront Dermatology Sc accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Forefront Dermatology Sc 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 Forefront Dermatology Sc was last updated on August 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.