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PREMIER DERMATOLOGY, PLLC
NPI 1669028353
Dermatology in Wellesley, MA

Active since August 18, 2019CLIA Certified · 2 labs
372 WASHINGTON ST, 2ND FLOOR, WELLESLEY, MA 02481(781) 205-0770 Get Directions Write a Review

NPPES record last updated: August 18, 2019. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Premier Dermatology, Pllc NPPES

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

PREMIER DERMATOLOGY, PLLC (NPI 1669028353) is a healthcare organization registered as a dermatology in Wellesley, Massachusetts and active in the NPI registry since August 2019. The organization holds 2 active CLIA laboratory certificates and lists Melissa Mae Burnett, Owner/sole Manager, as its authorized official.

NPPES Registry Identity

NPI1669028353
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NamePREMIER DERMATOLOGY, PLLC
Location Address372 WASHINGTON ST, 2ND FLOORWellesley, MA 02481-6216
Mailing Address563 North AveWeston, MA 02493-1839 · (781) 859-8157
Phone(781) 205-0770
Organization SubpartNo
Authorized OfficialMelissa Mae BurnettOwner/sole Manager · (781) 859-8157
Enumeration DateAugust 18, 2019
✔ NPI 1669028353 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.
372 WASHINGTON ST, Wellesley, MA 02481
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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)

Premier Dermatology, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Premier Dermatology, PLLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Kristen Rivard, ANP-BC, WHCNP-BC
Nurse Practitioner
NPI 1881134203
372 WASHINGTON ST
Wellesley, MA 02481
(781) 205-0770
✔ PECOSSame address
Jacqueline Kemp, MD, MS
Dermatology
NPI 1598183709
372 WASHINGTON ST
Wellesley, MA 02481
(781) 304-8680
✔ PECOSSame address
Virginia Moye, MD, MPH
Dermatology
NPI 1871908228
372 WASHINGTON ST STE 2
Wellesley, MA 02481
(781) 304-8680
✔ PECOSSame address
Elissa Lunder, MD
Dermatology
NPI 1457300964
65 WALNUT ST STE 480
Wellesley, MA 02481
(781) 431-7733
✔ PECOS1.6 mi
Melissa Burnett, MD
Dermatology
NPI 1407837818
55 FRUIT ST YAW 6800
Boston, MA 02114
(617) 726-2730
✔ PECOS11 mi
Laura Archibald, M.D.
Micrographic Dermatologic Surgery (MDS)
NPI 1790348472
80 ERDMAN WAY STE 100
Leominster, MA 01453
(978) 751-9280
✔ PECOS30 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 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 Compliance 22D2316300

Premier Dermatology, PLLC · Wellesley, MA
Active · expires Apr 26, 2028
CLIA Number22D2316300
Laboratory TypePhysician Office
Certificate Effective DateApril 27, 2026
Certificate Expiration DateApril 26, 2028
Laboratory DirectorDr. Laura K. Archibald
Laboratory Phone(781) 304-8680
Laboratory LocationPremier Dermatology, PLLC372 Washington Street, 2nd Floor, Wellesley, MA 02481
CLIA data matches this NPI record on: Address Name
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) 22D2330230

Premier Dermatology · Wellesley, MA
Active · expires Sep 11, 2027
CLIA Number22D2330230
Laboratory TypePhysician Office
Certificate Effective DateSeptember 12, 2025
Certificate Expiration DateSeptember 11, 2027
Laboratory DirectorMelissa Burnett
Laboratory Phone(781) 304-8680
Laboratory LocationPremier Dermatology372 Washington Street, 3rd Floor, Wellesley, MA 02481
CLIA data matches this NPI record on: Address Name
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 Premier Dermatology, PLLC's NPI number?

The NPI number for Premier Dermatology, PLLC is 1669028353. It was assigned to this organization in the NPPES registry on August 18, 2019.

Where is Premier Dermatology, PLLC located?

Premier Dermatology, PLLC is located at 372 Washington St 2nd Floor, Wellesley, MA 02481. The listed phone number is (781) 205-0770.

What is Premier Dermatology, PLLC's specialty?

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

Is Premier Dermatology, PLLC enrolled in Medicare?

Yes. Premier Dermatology, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Premier Dermatology, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to Premier Dermatology, 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. The largest specialties are Dermatology (4), Micrographic Dermatologic Surgery (MDS) (1) and Nurse Practitioner (1). Of these, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Premier Dermatology, PLLC 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 Premier Dermatology, PLLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Premier Dermatology, PLLC 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 Premier Dermatology, PLLC was last updated on August 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.