LAKE LOVELAND DERMATOLOGY PC
NPI 1700487675
Dermatology in Fort Collins, CO
About Lake Loveland Dermatology Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAKE LOVELAND DERMATOLOGY PC (NPI 1700487675) is a healthcare organization registered as a dermatology in Fort Collins, Colorado and active in the NPI registry since November 2020. The organization lists Kevin John Mott, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Group Practice 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lake Loveland Dermatology Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Lake Loveland Dermatology PC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. 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 Lake Loveland Dermatology PC's NPI number?
The NPI number for Lake Loveland Dermatology PC is 1700487675. It was assigned to this organization in the NPPES registry on November 5, 2020.
Where is Lake Loveland Dermatology PC located?
Lake Loveland Dermatology PC is located at 1101 Oakridge Dr, Fort Collins, CO 80525. The listed phone number is (970) 667-3116.
What is Lake Loveland Dermatology PC's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Lake Loveland Dermatology PC enrolled in Medicare?
Yes. Lake Loveland Dermatology PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lake Loveland Dermatology PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Lake Loveland Dermatology PC, in Dermatology, Nurse Practitioner and Pathology. 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, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Lake Loveland Dermatology PC was last updated on January 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.