PREMIER DERMATOLOGY
NPI 1740968718
Dermatology in Bartlesville, OK

Active since July 10, 2023
234 SE DEBELL AVE, BARTLESVILLE, OK 74006(918) 956-1125(918) 956-1126 Get Directions Write a Review

NPPES record last updated: July 10, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Premier Dermatology NPPES

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

PREMIER DERMATOLOGY (NPI 1740968718) is a healthcare organization registered as a dermatology in Bartlesville, Oklahoma and active in the NPI registry since July 2023. The organization lists Kori A Sauer, Owner, as its authorized official.

NPPES Registry Identity

NPI1740968718
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NamePREMIER DERMATOLOGY
Location Address234 SE DEBELL AVEBartlesville, OK 74006-2305
Mailing Address234 Se Debell AveBartlesville, OK 74006-2305 · (918) 956-1125 · Fax (918) 956-1126
Fax(918) 956-1126
Organization SubpartNo
Authorized OfficialKori A SauerOwner · (918) 338-9455
Enumeration DateJuly 10, 2023
NPPES CertifiedJuly 9, 2023
✔ NPI 1740968718 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.
234 SE DEBELL AVE, Bartlesville, OK 74006

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)

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

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Premier Dermatology, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1841612025
234 SE DEBELL AVE
Bartlesville, OK 74006
(918) 956-1125
✔ PECOS✔ Accepts MedicareSame address

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 Premier Dermatology's NPI number?

The NPI number for Premier Dermatology is 1740968718. It was assigned to this organization in the NPPES registry on July 10, 2023.

Where is Premier Dermatology located?

Premier Dermatology is located at 234 SE Debell Ave, Bartlesville, OK 74006. The listed phone number is (918) 956-1125.

What is Premier Dermatology's specialty?

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

Is Premier Dermatology enrolled in Medicare?

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

How many clinicians bill Medicare through Premier Dermatology?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Premier Dermatology. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Premier Dermatology was last updated on July 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.