ANDOVER DERMATOLOGY, PC
NPI 1629293485
Dermatology in Andover, MA
About Andover Dermatology, Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANDOVER DERMATOLOGY, PC (NPI 1629293485) is a healthcare organization registered as a dermatology in Andover, Massachusetts and active in the NPI registry since April 2007. The organization lists Christine H Andersen, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Andover Dermatology, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 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
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Andover Dermatology, PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
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 Andover Dermatology, PC's NPI number?
The NPI number for Andover Dermatology, PC is 1629293485. It was assigned to this organization in the NPPES registry on April 16, 2007.
Where is Andover Dermatology, PC located?
Andover Dermatology, PC is located at 138 Haverhill St Suite 200, Andover, MA 01810. The listed phone number is (978) 475-4322.
What is Andover Dermatology, PC's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Andover Dermatology, PC enrolled in Medicare?
Yes. Andover Dermatology, PC is registered in the Medicare PECOS enrollment system.
When is Andover Dermatology, PC'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 (Massachusetts, Clinic/Group Practice) is due for revalidation by February 28, 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 Andover Dermatology, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Dermatology, reassign their Medicare billing to Andover Dermatology, PC. 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Andover Dermatology, PC accept?
Health plans from Anthem Blue Cross and Blue Shield list Andover 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 Andover Dermatology, PC was last updated on July 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Andover Dermatology, Pc · NPI 1629293485
Dermatology organization in Andover, Massachusetts. Organization record, active in the CMS NPPES registry since April 16, 2007.
## Identity
- **NPI:** 1629293485 (Entity type: Organization)
- **Enumerated:** April 16, 2007
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Organization subpart:** No
- **Authorized official:** Christine Andersen, PRESIDENT
## Practice location
- **Address:** 138 HAVERHILL ST, SUITE 200, Andover, MA 01810
- **Phone:** (978) 475-4322 · **Fax:** (978) 474-4537
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Massachusetts, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 3 clinicians (Dermatology) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 9, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1629293485) · Data from the CMS NPPES public registry.