GRAND ISLAND DERMATOLOGY PC
NPI 1609836535
Dermatology in Grand Island, NE
About Grand Island Dermatology Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GRAND ISLAND DERMATOLOGY PC (NPI 1609836535) is a healthcare organization registered as a dermatology in Grand Island, Nebraska and active in the NPI registry since March 2006. The organization holds 2 active CLIA laboratory certificates and lists Patrick L Sheridan, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 2
Group Practice 1
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)
Grand Island Dermatology Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Grand Island Dermatology PC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
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 for Provider-Performed Microscopy Procedures (PPMP) 28D1017055
Grand Island Dermatology PC · Grand Island, NECertificate of Compliance 28D2116830
Grand Island Dermatology · Grand Island, NEFrequently 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 Grand Island Dermatology PC's NPI number?
The NPI number for Grand Island Dermatology PC is 1609836535. It was assigned to this organization in the NPPES registry on March 24, 2006.
Where is Grand Island Dermatology PC located?
Grand Island Dermatology PC is located at 418 N Webb Rd, Grand Island, NE 68803. The listed phone number is (308) 384-9300.
What is Grand Island Dermatology PC's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Grand Island Dermatology PC enrolled in Medicare?
Yes. Grand Island Dermatology PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Grand Island Dermatology PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians reassign their Medicare billing to Grand Island Dermatology PC, in Dermatology, Nurse Practitioner and Pathology. 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, 3 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Grand Island Dermatology PC 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 Grand Island Dermatology PC accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Blue Cross and Blue Shield of Nebraska and Oscar Insurance Company list Grand Island Dermatology PC 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 Grand Island Dermatology PC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Grand Island Dermatology Pc · NPI 1609836535
Dermatology organization in Grand Island, Nebraska. Organization record, active in the CMS NPPES registry since March 24, 2006.
## Identity
- **NPI:** 1609836535 (Entity type: Organization)
- **Enumerated:** March 24, 2006
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Organization subpart:** No
- **Authorized official:** Patrick Sheridan, ADMINISTRATOR
## Practice location
- **Address:** 418 N WEBB RD, Grand Island, NE 68803-4045
- **Phone:** (308) 384-9300 · **Fax:** (308) 384-4542
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dermatology (2), Pathology (2), Nurse Practitioner (1); 3 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 21, 2022
- **Other identifiers:** Other 01726 (NE); Medicaid 10025016800 (NE)
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1609836535) · Data from the CMS NPPES public registry.