BLISS DERMATOLOGY, LLC
NPI 1689361644
Dermatology - MOHS-Micrographic Surgery in Venice, FL

Q: What is Bliss Dermatology, LLC's NPI number?

The NPI number for Bliss Dermatology, LLC is 1689361644. It was assigned to this organization in the NPPES registry on April 20, 2023. The provider is doing business as Bliss Dermatology.

Q: What is Bliss Dermatology, LLC's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Active since April 20, 2023CLIA 10D0295356 · Certificate of Compliance

315 NOKOMIS AVE S, VENICE, FL 34285(941) 477-4007(877) 239-7174 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 2, 2025, Jun 26, 2025 (2 updates tracked since 2025).

On this page

About Bliss Dermatology, Llc NPPES

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

BLISS DERMATOLOGY, LLC (NPI 1689361644), doing business as Bliss Dermatology, is a healthcare organization registered as a mohs-micrographic surgery in Venice, Florida and active in the NPI registry since April 2023. The organization holds a CLIA Certificate of Compliance certificate valid through September 21, 2028 and lists Michelle Pennie, Owner, as its authorized official.

NPPES Registry Identity

NPI1689361644

Entity TypeOrganization

Primary Taxonomy207ND0101X

Legal Business NameBLISS DERMATOLOGY, LLC

Location Address315 NOKOMIS AVE SVenice, FL 34285-2417

Mailing Address315 Nokomis Ave SVenice, FL 34285-2417 · (941) 477-4007 · Fax (877) 239-7174

Phone(941) 477-4007

Fax(877) 239-7174

Organization SubpartNo

Authorized OfficialMichelle PennieOwner · (941) 477-4007

Enumeration DateApril 20, 2023

Last NPPES UpdateSeptember 2, 20252 updates tracked since enumeration

NPPES CertifiedJune 26, 2025

✔ NPI 1689361644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207ND0101X

Definition

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

315 NOKOMIS AVE S, Venice, FL 34285

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Other Names 1

Doing Business AsBliss Dermatology

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)

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

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Bliss Dermatology, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Ashley Gyeszat, APRN

Nurse Practitioner

NPI 1548945371

315 NOKOMIS AVE S
Venice, FL 34285

(941) 477-4007

✔ PECOS✔ Accepts MedicareSame address

Michelle Pennie, MD

Dermatology

NPI 1497932784

900 PINE ST STE 122-123
Englewood, FL 34223

(941) 474-8811

✔ PECOS✔ Accepts Medicare12 mi

Emily Radtke, NP

Nurse Practitioner

NPI 1467951160

111 N ORANGE AVE STE 800
Orlando, FL 32801

(888) 731-8994

✔ PECOS✔ Accepts Medicare119 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

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 10D0295356

Bliss Dermatology · Englewood, FL

Active · expires Sep 21, 2028

CLIA Number10D0295356

Laboratory TypePhysician Office

Certificate Effective DateSeptember 22, 2026

Certificate Expiration DateSeptember 21, 2028

Laboratory DirectorDr. Michelle Pennie

Laboratory Phone(941) 477-4007

Laboratory LocationBliss Dermatology699 S Indiana Avenue, Englewood, FL 34223

CLIA data matches this NPI record on: 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.

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 Bliss Dermatology, LLC's NPI number?

The NPI number for Bliss Dermatology, LLC is 1689361644. It was assigned to this organization in the NPPES registry on April 20, 2023. The provider is doing business as Bliss Dermatology.

Where is Bliss Dermatology, LLC located?

Bliss Dermatology, LLC is located at 315 Nokomis Ave S, Venice, FL 34285. The listed phone number is (941) 477-4007.

What is Bliss Dermatology, LLC's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Is Bliss Dermatology, LLC enrolled in Medicare?

Yes. Bliss Dermatology, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bliss Dermatology, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Bliss Dermatology, LLC, in Dermatology and Nurse Practitioner. 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, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Bliss Dermatology, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 10D0295356) is associated with this NPI, valid through September 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bliss Dermatology, LLC was last updated on September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.