1. Home
  2. Directory
  3. Washington
  4. Pasco
  5. Nurse Practitioner
  6. NPI Profile

ATOMIC DERMATOLOGY LLC
NPI 1770009706
Nurse Practitioner in Pasco, WA

Active since August 22, 2017CLIA 50D2257276 · Waiver
9221 SANDIFUR PKWY STE A, PASCO, WA 99301(509) 233-7546(509) 795-3508 Get Directions Write a Review

NPPES record last updated: January 9, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 9, 2023, Dec 12, 2022, Aug 22, 2017 (3 updates tracked since 2017).

About Atomic Dermatology Llc NPPES

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

ATOMIC DERMATOLOGY LLC (NPI 1770009706) is a healthcare organization registered as a nurse practitioner in Pasco, Washington and active in the NPI registry since August 2017. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Vicki Haines, Owner, as its authorized official.

NPPES Registry Identity

NPI1770009706
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameATOMIC DERMATOLOGY LLC
Location Address9221 SANDIFUR PKWY STE APasco, WA 99301-9241
Mailing Address7224 Sandy Ridge RdPasco, WA 99301-9379
Phone(509) 233-7546
Fax(509) 795-3508
Organization SubpartNo
Authorized OfficialVicki HainesOwner · (509) 301-6451
Enumeration DateAugust 22, 2017
Last NPPES UpdateJanuary 9, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2023
✔ NPI 1770009706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in WA · AP60211812
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
9221 SANDIFUR PKWY STE A, Pasco, WA 99301
Open in Google Maps ↗

Other Identifiers 1

Medicaid2089475WA

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Atomic Dermatology LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Vicki Haines
Nurse Practitioner
NPI 1720386808
9221 SANDIFUR PKWY STE A
Pasco, WA 99301
(509) 233-7546
✔ PECOS✔ Accepts MedicareSame address
Jessica Meredith, ARNP
Nurse Practitioner
NPI 1043074743
9221 SANDIFUR PKWY
Pasco, WA 99301
(509) 233-7546
✔ PECOS✔ Accepts MedicareSame address
Christina Rodriguez, ARNP
Nurse Practitioner
NPI 1780285049
104 COLUMBIA POINT DR
Richland, WA 99352
(509) 942-3190
✔ PECOS✔ Accepts Medicare2.7 mi
Kristi Guzman, ARNP
Nurse Practitioner
NPI 1184408189
3950 KEENE RD
Richland, WA 99353
(509) 942-3130
✔ PECOS✔ Accepts Medicare6.2 mi
Lauren Berg, ARNP
Nurse Practitioner
NPI 1508409780
1024 S 2ND AVE
Walla Walla, WA 99362
(509) 540-1759
✔ PECOS45 mi
Marla Kae Stahlnecker, ARNP
Nurse Practitioner
NPI 1609808013
1125 S 2ND AVE STE B
Walla Walla, WA 99362
(509) 525-2333
✔ PECOS45 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 Waiver 50D2257276

Atomic Dermatology, LLC · Pasco, WA
Active · expires Apr 4, 2028
CLIA Number50D2257276
Laboratory TypePhysician Office
Certificate Effective DateApril 1, 2022
Certificate Expiration DateApril 4, 2028
Laboratory DirectorVicki Haines
Laboratory Phone(509) 233-7546
Laboratory LocationAtomic Dermatology, LLC9221 Sandifur Pkwy Ste A, Pasco, WA 99301
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Atomic Dermatology LLC's NPI number?

The NPI number for Atomic Dermatology LLC is 1770009706. It was assigned to this organization in the NPPES registry on August 22, 2017.

Where is Atomic Dermatology LLC located?

Atomic Dermatology LLC is located at 9221 Sandifur Pkwy Ste A, Pasco, WA 99301. The listed phone number is (509) 233-7546.

What is Atomic Dermatology LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Atomic Dermatology LLC enrolled in Medicare?

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

How many clinicians bill Medicare through Atomic Dermatology LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Atomic Dermatology LLC. 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, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Atomic Dermatology LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2257276) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Atomic Dermatology LLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Atomic Dermatology LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Atomic Dermatology LLC was last updated on January 9, 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.