ADVANCED DERMATOLOGY OF COLORADO, PC
NPI 1710370648
Dermatology in Fort Collins, CO
About Advanced Dermatology Of Colorado, Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ADVANCED DERMATOLOGY OF COLORADO, PC (NPI 1710370648) is a healthcare organization registered as a dermatology in Fort Collins, Colorado and active in the NPI registry since March 2015. The organization holds an CLIA Accreditation certificate valid through March 14, 2028 and lists Amy Declue, Director-provider Services, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Advanced Dermatology Of Colorado, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
51Medicare enrollment records show 51 clinicians reassign Medicare billing to Advanced Dermatology Of Colorado, PC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 8 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 4
Nearest to this location (20)
See all 51Fort Collins, CO 80524
Fort Collins, CO 80524
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 Accreditation 06D1106242
Advanced Dermatology Of Colorado · Fort Collins, COFrequently 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 Advanced Dermatology Of Colorado, PC's NPI number?
The NPI number for Advanced Dermatology Of Colorado, PC is 1710370648. It was assigned to this organization in the NPPES registry on March 17, 2015.
Where is Advanced Dermatology Of Colorado, PC located?
Advanced Dermatology Of Colorado, PC is located at 1100 Poudre River Dr Unit A, Fort Collins, CO 80524. The listed phone number is (970) 484-6303.
What is Advanced Dermatology Of Colorado, PC's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Advanced Dermatology Of Colorado, PC enrolled in Medicare?
Yes. Advanced Dermatology Of Colorado, PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Advanced Dermatology Of Colorado, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 51 clinicians in 4 Medicare specialties reassign their Medicare billing to Advanced Dermatology Of Colorado, PC. 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 (34), Nurse Practitioner (7) and Pathology (6). Of these, 3 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Advanced Dermatology Of Colorado, PC hold a CLIA laboratory certificate?
Yes. A Certificate of Accreditation (number 06D1106242) is associated with this NPI, valid through March 14, 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 Advanced Dermatology Of Colorado, PC was last updated on November 6, 2018. 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.
# Advanced Dermatology Of Colorado, Pc · NPI 1710370648
Dermatology organization in Fort Collins, Colorado. Organization record, active in the CMS NPPES registry since March 17, 2015.
## Identity
- **NPI:** 1710370648 (Entity type: Organization)
- **Enumerated:** March 17, 2015
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Organization subpart:** No
- **Authorized official:** Amy Declue, DIRECTOR-PROVIDER SERVICES
## Practice location
- **Address:** 1100 POUDRE RIVER DR UNIT A, Fort Collins, CO 80524-3557
- **Phone:** (970) 484-6303 · **Fax:** (970) 484-3036
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 51 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dermatology (34), Nurse Practitioner (7), Pathology (6); 3 practice at this address and 8 within 10 miles; [full list](https://npiprofile.com/npi/1710370648/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 6, 2018
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1710370648) · Data from the CMS NPPES public registry.