FOREFRONT DERMATOLOGY, S.C.
NPI 1578515904
Dermatology in Manitowoc, WI

Active since May 16, 2006CLIA Certified · 2 labs
1515 RANDOLPH CT, MANITOWOC, WI 54220(920) 683-5278(920) 482-0359 Get Directions Write a Review

NPPES record last updated: April 22, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 22, 2021, Oct 16, 2019, May 16, 2018 and 1 more (4 updates tracked since 2018).

About Forefront Dermatology, S.c. NPPES

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

FOREFRONT DERMATOLOGY, S.C. (NPI 1578515904) is a healthcare organization registered as a dermatology in Manitowoc, Wisconsin and active in the NPI registry since May 2006. The organization holds 2 active CLIA laboratory certificates, maintains 2 additional practice locations, and lists Betsy J Wernli, President, as its authorized official.

NPPES Registry Identity

NPI1578515904
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameFOREFRONT DERMATOLOGY, S.C.
Location Address1515 RANDOLPH CTManitowoc, WI 54220
Mailing Address801 York StManitowoc, WI 54220-4630 · (920) 663-9008 · Fax (920) 684-1439
Fax(920) 482-0359
Organization SubpartNo
Authorized OfficialBetsy J WernliPresident · (920) 482-0671
Enumeration DateMay 16, 2006
Last NPPES UpdateApril 22, 20214 updates tracked since enumeration
NPPES CertifiedApril 22, 2021
✔ NPI 1578515904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ 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 · DermatopathologyTaxonomy 207ND0900X
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X
1515 RANDOLPH CT, Manitowoc, WI 54220

Secondary Practice Locations 2

Location 1W7713 Johnson CtWautoma, WI 54982-5274 · Phone (920) 895-1004 · Fax (920) 895-1005
Location 2W176N9352 River Crest Dr Ste 3Menomonee Falls, WI 53051 · Phone (262) 345-2898 · Fax (262) 345-2899

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 MULTIPLE 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)

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

Clinicians Billing Medicare Through This Organization

60

Medicare enrollment records show 60 clinicians reassign Medicare billing to Forefront Dermatology, S.C., which bills Medicare for the services they deliver. Of these, 3 practice at this address and 11 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Dermatology40
Pathology10
Nurse Practitioner7
Micrographic Dermatologic Surgery (MDS)2
Physician Assistant1

Nearest to this location (20)

See all 60
Micrographic Dermatologic Surgery (MDS)
NPI 1891779179
1515 RANDOLPH CT
Manitowoc, WI 54220
(920) 683-5278
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1245899038
1515 RANDOLPH CT
Manitowoc, WI 54220
(920) 683-5278
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1437378973
1515 RANDOLPH CT
Manitowoc, WI 54220
(920) 683-5278
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1932101060
801 YORK ST
Manitowoc, WI 54220
(920) 683-5278
✔ PECOS✔ Accepts Medicare2.7 mi
Dermatology
NPI 1124061619
801 YORK ST
Manitowoc, WI 54220
(920) 663-9008
✔ PECOS✔ Accepts Medicare2.7 mi
Pathology
NPI 1578726717
801 YORK ST
Manitowoc, WI 54220
(920) 683-5278
✔ PECOS✔ Accepts Medicare2.7 mi
Pathology
NPI 1548622533
801 YORK ST
Manitowoc, WI 54220
(920) 683-5278
✔ PECOS✔ Accepts Medicare2.7 mi
Dermatology
NPI 1457554917
801 YORK ST
Manitowoc, WI 54220
(920) 683-5278
✔ PECOS✔ Accepts Medicare2.7 mi
Pathology
NPI 1326393307
801 YORK ST
Manitowoc, WI 54220
(920) 683-5278
✔ PECOS✔ Accepts Medicare2.7 mi
Pathology
NPI 1356880868
801 YORK ST
Manitowoc, WI 54220
(920) 683-5278
✔ PECOS✔ Accepts Medicare2.7 mi
Pathology
NPI 1932209129
801 YORK ST
Manitowoc, WI 54220
(920) 683-5278
✔ PECOS✔ Accepts Medicare2.7 mi
Nurse Practitioner
NPI 1962811679
1440 N 25TH ST
Sheboygan, WI 53081
(920) 457-9100
✔ PECOS✔ Accepts Medicare22 mi
Dermatology
NPI 1063602811
1440 N 25TH ST
Sheboygan, WI 53081
(920) 457-9100
✔ PECOS✔ Accepts Medicare24 mi
Dermatology
NPI 1821298324
2617 DEVELOPMENT DR
Green Bay, WI 54311
(920) 336-8197
✔ PECOS✔ Accepts Medicare30 mi
Dermatology
NPI 1932786159
2700 CROOKS AVE STE 101
Kaukauna, WI 54130
(920) 581-5561
✔ PECOS✔ Accepts Medicare31 mi
Dermatology
NPI 1124145040
1400 SCHEURING RD
De Pere, WI 54115
(920) 964-0229
✔ PECOS✔ Accepts Medicare31 mi
Nurse Practitioner
NPI 1598188138
1245 CHEYENNE AVE SUITE 301
Grafton, WI 53024
(262) 377-2222
✔ PECOS✔ Accepts Medicare54 mi
Nurse Practitioner
NPI 1881306280
1620 N SHAWANO ST STE C
New London, WI 54961
(920) 982-3870
✔ PECOS✔ Accepts Medicare56 mi
Physician Assistant
NPI 1225522733
109 WARREN ST STE 1
Beaver Dam, WI 53916
(920) 885-2622
✔ PECOS✔ Accepts Medicare71 mi
Nurse Practitioner
NPI 1598782518
5501A VERN HOLMES DR
Stevens Point, WI 54482
(715) 344-0172
✔ PECOS✔ Accepts Medicare94 mi
See all 60 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 2

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 52D2029954

Forefront Dermatology, Sc · Wautoma, WI
Active · expires Nov 26, 2027
CLIA Number52D2029954
Laboratory TypePhysician Office
Certificate Effective DateNovember 27, 2025
Certificate Expiration DateNovember 26, 2027
Laboratory DirectorDr. Kurt W. Grelck
Laboratory Phone(920) 895-1004
Laboratory LocationForefront Dermatology, ScW7713 Johnson Ct, Wautoma, WI 54982
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 52D2225376

Forefront Dermatology, Sc · Menomonee Falls, WI
Active · expires May 19, 2027
CLIA Number52D2225376
Laboratory TypePhysician Office
Certificate Effective DateMay 20, 2025
Certificate Expiration DateMay 19, 2027
Laboratory DirectorDr. Ashley M. Dietrich
Laboratory Phone(262) 345-2898
Laboratory LocationForefront Dermatology, ScW176n9352 River Crest Dr Ste 3, Menomonee Falls, WI 53051
CLIA data matches this NPI record on: Address 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 Forefront Dermatology, S.C.'s NPI number?

The NPI number for Forefront Dermatology, S.C. is 1578515904. It was assigned to this organization in the NPPES registry on May 16, 2006.

Where is Forefront Dermatology, S.C. located?

Forefront Dermatology, S.C. is located at 1515 Randolph Ct, Manitowoc, WI 54220. The listed phone number is (920) 683-5278.

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

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

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), 60 clinicians in 5 Medicare specialties reassign their Medicare billing to Forefront Dermatology, S.C.. 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 (40), Pathology (10) and Nurse Practitioner (7). Of these, 3 practice at this address and 11 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Forefront Dermatology, S.C. hold CLIA laboratory certificates?

Yes. 2 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 Forefront Dermatology, S.C. accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), Cigna HealthCare of Arizona, Inc and Cigna HealthCare of Florida, Inc. and 5 other insurers list Forefront Dermatology, S.C. 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, S.C. was last updated on April 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.