DERMCARE PRACTITIONERS, LLC
NPI 1629558291
Nurse Practitioner in Louisville, KY

Active since August 14, 2018
1169 EASTERN PKWY STE 431, LOUISVILLE, KY 40217(502) 361-3909(502) 361-9229 Get Directions Write a Review

NPPES record last updated: February 21, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 21, 2020, Mar 18, 2019, Feb 6, 2019 and 2 more (5 updates tracked since 2018).

About Dermcare Practitioners, Llc NPPES

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

DERMCARE PRACTITIONERS, LLC (NPI 1629558291) is a healthcare organization registered as a nurse practitioner in Louisville, Kentucky and active in the NPI registry since August 2018. The organization lists Christy Quire Baker, Owner, as its authorized official.

NPPES Registry Identity

NPI1629558291
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameDERMCARE PRACTITIONERS, LLC
Location Address1169 EASTERN PKWY STE 431Louisville, KY 40217-1435
Mailing Address1169 Eastern Pkwy Ste 431Louisville, KY 40217-1435 · (502) 361-3909 · Fax (502) 361-9229
Fax(502) 361-9229
Organization SubpartNo
Authorized OfficialChristy Quire BakerOwner · (502) 361-3909
Enumeration DateAugust 14, 2018
Last NPPES UpdateFebruary 21, 20205 updates tracked since enumeration
✔ NPI 1629558291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1169 EASTERN PKWY STE 431, Louisville, KY 40217

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 SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dermcare Practitioners, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Dermcare Practitioners, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1780671651
1169 EASTERN PKWY STE 431
Louisville, KY 40217
(502) 361-3909
✔ PECOS✔ Accepts MedicareSame address

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 Dermcare Practitioners, LLC's NPI number?

The NPI number for Dermcare Practitioners, LLC is 1629558291. It was assigned to this organization in the NPPES registry on August 14, 2018.

Where is Dermcare Practitioners, LLC located?

Dermcare Practitioners, LLC is located at 1169 Eastern Pkwy Ste 431, Louisville, KY 40217. The listed phone number is (502) 361-3909.

What is Dermcare Practitioners, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Dermcare Practitioners, LLC enrolled in Medicare?

Yes. Dermcare Practitioners, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dermcare Practitioners, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Dermcare Practitioners, LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Dermcare Practitioners, LLC was last updated on February 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.