WEST PLAINS DERMATOLOGY AND SKIN CANCER TREATMENT CENTER, LLC
NPI 1700718368
Dermatology in West Plains, MO

Active since May 29, 2026CLIA 26D2347465 · Certificate of Compliance
1801 E STATE ROUTE K, WEST PLAINS, MO 65775(417) 588-0456 Get Directions Write a Review

NPPES record last updated: May 29, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About West Plains Dermatology And Skin Cancer Treatment Center, Llc NPPES

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

WEST PLAINS DERMATOLOGY AND SKIN CANCER TREATMENT CENTER, LLC (NPI 1700718368) is a healthcare organization registered as a dermatology in West Plains, Missouri and active in the NPI registry since May 2026. The organization holds a CLIA Certificate of Compliance certificate valid through July 16, 2028 and lists Leslie Ann Marshall, Dermatologist, as its authorized official.

NPPES Registry Identity

NPI1700718368
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameWEST PLAINS DERMATOLOGY AND SKIN CANCER TREATMENT CENTER, LLC
Location Address1801 E STATE ROUTE KWest Plains, MO 65775-6616
Mailing Address8978 County Road 6470West Plains, MO 65775-6631 · (417) 588-0456
Organization SubpartNo
Authorized OfficialLeslie Ann MarshallDermatologist · (417) 588-0456
Enumeration DateMay 29, 2026
NPPES CertifiedMay 29, 2026
✔ NPI 1700718368 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.
1801 E STATE ROUTE K, West Plains, MO 65775

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)

West Plains Dermatology And Skin Cancer Treatment Center, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to West Plains Dermatology And Skin Cancer Treatment Center, LLC, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Family Practice
NPI 1467654715
181 N KENTUCKY AVE
West Plains, MO 65775
(417) 505-7100
✔ PECOS✔ Accepts Medicare0.2 mi
Dermatology
NPI 1639758006
1100 N KENTUCKY AVE
West Plains, MO 65775
(417) 256-9111
✔ PECOS✔ Accepts Medicare0.8 mi
Nurse Practitioner
NPI 1306476510
1115 ALASKA ST STE 215
West Plains, MO 65775
(417) 257-5989
✔ PECOS✔ Accepts Medicare0.9 mi
Dermatology
NPI 1477878221
1210 N KENTUCKY AVE
West Plains, MO 65775
(417) 256-9111
✔ PECOS✔ Accepts Medicare0.9 mi
Nurse Practitioner
NPI 1609586585
1202 E MAIN ST
Willow Springs, MO 65793
(417) 293-7184
✔ PECOS✔ Accepts Medicare19 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 26D2347465

West Plains Dermatology And Skin Cancer Treatment Center · West Plains, MO
Active · expires Jul 16, 2028
CLIA Number26D2347465
Laboratory TypePhysician Office
Certificate Effective DateJuly 17, 2026
Certificate Expiration DateJuly 16, 2028
Laboratory DirectorLeslie A. Marshall
Laboratory Phone(417) 240-7546
Laboratory LocationWest Plains Dermatology And Skin Cancer Treatment Center1801 E State Route K, West Plains, MO 65775
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.

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 West Plains Dermatology And Skin Cancer Treatment Center, LLC's NPI number?

The NPI number for West Plains Dermatology And Skin Cancer Treatment Center, LLC is 1700718368. It was assigned to this organization in the NPPES registry on May 29, 2026.

Where is West Plains Dermatology And Skin Cancer Treatment Center, LLC located?

West Plains Dermatology And Skin Cancer Treatment Center, LLC is located at 1801 E State Route K, West Plains, MO 65775. The listed phone number is (417) 588-0456.

What is West Plains Dermatology And Skin Cancer Treatment Center, LLC's specialty?

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

Is West Plains Dermatology And Skin Cancer Treatment Center, LLC enrolled in Medicare?

Yes. West Plains Dermatology And Skin Cancer Treatment Center, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through West Plains Dermatology And Skin Cancer Treatment Center, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians reassign their Medicare billing to West Plains Dermatology And Skin Cancer Treatment Center, LLC, in Dermatology, Family Practice 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, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does West Plains Dermatology And Skin Cancer Treatment Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 26D2347465) is associated with this NPI, valid through July 16, 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 West Plains Dermatology And Skin Cancer Treatment Center, LLC was last updated on May 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.