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PENINSULA DERMATOLOGY & LASER CLINIC PLLC
NPI 1659167674
Dermatology in Gig Harbor, WA

Active since April 16, 2025CLIA Certified · 3 labs
4700 POINT FOSDICK DR STE 219, GIG HARBOR, WA 98335(253) 851-7733(253) 514-6320 Get Directions Write a Review

NPPES record last updated: April 16, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Peninsula Dermatology & Laser Clinic Pllc NPPES

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

PENINSULA DERMATOLOGY & LASER CLINIC PLLC (NPI 1659167674) is a healthcare organization registered as a dermatology in Gig Harbor, Washington and active in the NPI registry since April 2025. The organization holds 3 active CLIA laboratory certificates, maintains 2 additional practice locations, and lists Kerri L Robbins, Owner, as its authorized official.

NPPES Registry Identity

NPI1659167674
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NamePENINSULA DERMATOLOGY & LASER CLINIC PLLC
Location Address4700 POINT FOSDICK DR STE 219Gig Harbor, WA 98335-1706
Mailing Address4700 Point Fosdick Dr Ste 219Gig Harbor, WA 98335-1706 · (253) 851-7733 · Fax (253) 514-6320
Phone(253) 851-7733
Fax(253) 514-6320
Organization SubpartNo
Authorized OfficialKerri L RobbinsOwner · (253) 851-7733
Enumeration DateApril 16, 2025
NPPES CertifiedApril 16, 2025
✔ NPI 1659167674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
4700 POINT FOSDICK DR STE 219, Gig Harbor, WA 98335
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Secondary Practice Locations 2

Location 13505 NW Anderson Hill Rd Ste 201Silverdale, WA 98383-9161 · Phone (360) 698-6859 · Fax (360) 337-7403
Location 24707 S 19th St Ste 130Tacoma, WA 98405-1151 · Phone (253) 752-2273 · Fax (253) 759-0914

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)

Peninsula Dermatology & Laser Clinic Pllc 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 Peninsula Dermatology & Laser Clinic PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kerri Robbins, MD
Dermatology
NPI 1831333749
4700 POINT FOSDICK DR NW STE 219
Gig Harbor, WA 98335
(253) 851-7733
✔ PECOS0.1 mi

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 3

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 50D0956753

Peninsula Dermatology & Laser Clinic · Silverdale, WA
Active · expires Apr 4, 2028
CLIA Number50D0956753
Laboratory TypePhysician Office
Certificate Effective DateFebruary 4, 1999
Certificate Expiration DateApril 4, 2028
Laboratory DirectorKerri O. Robbins
Laboratory Phone(360) 698-6859
Laboratory LocationPeninsula Dermatology & Laser Clinic3505 NW Anderson Hill Rd Ste 201, Silverdale, WA 98383
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.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 50D2158410

Peninsula Dermatology And Laser Clinic · Tacoma, WA
Active · expires Apr 4, 2028
CLIA Number50D2158410
Laboratory TypePhysician Office
Certificate Effective DateNovember 28, 2018
Certificate Expiration DateApril 4, 2028
Laboratory DirectorKerri M. Robbins
Laboratory Phone(253) 752-2273
Laboratory LocationPeninsula Dermatology And Laser Clinic4707 S 19th St, Tacoma, WA 98405
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.

Certificate of Compliance 50D1071086

Peninsula Dermatology And Laser Clinic · Gig Harbor, WA
Active · expires Apr 4, 2028
CLIA Number50D1071086
Laboratory TypePhysician Office
Certificate Effective DateJuly 18, 2007
Certificate Expiration DateApril 4, 2028
Laboratory DirectorKerri O. Robbins
Laboratory Phone(253) 851-7733
Laboratory LocationPeninsula Dermatology And Laser Clinic4700 Point Fosdick Dr NW Ste 219, Gig Harbor, WA 98335
CLIA data matches this NPI record on: 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 Peninsula Dermatology & Laser Clinic PLLC's NPI number?

The NPI number for Peninsula Dermatology & Laser Clinic PLLC is 1659167674. It was assigned to this organization in the NPPES registry on April 16, 2025.

Where is Peninsula Dermatology & Laser Clinic PLLC located?

Peninsula Dermatology & Laser Clinic PLLC is located at 4700 Point Fosdick Dr Ste 219, Gig Harbor, WA 98335. The listed phone number is (253) 851-7733.

What is Peninsula Dermatology & Laser Clinic PLLC's specialty?

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

Is Peninsula Dermatology & Laser Clinic PLLC enrolled in Medicare?

Yes. Peninsula Dermatology & Laser Clinic PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Peninsula Dermatology & Laser Clinic PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Peninsula Dermatology & Laser Clinic PLLC. 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.

Does Peninsula Dermatology & Laser Clinic PLLC hold CLIA laboratory certificates?

Yes. 3 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.

When was this NPI record last updated?

The NPPES record for Peninsula Dermatology & Laser Clinic PLLC was last updated on April 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.