ANACORTES DERMATOLOGY
NPI 1790057792
Dermatology - Procedural Dermatology in Anacortes, WA
About Anacortes Dermatology NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANACORTES DERMATOLOGY (NPI 1790057792) is a healthcare organization registered as a procedural dermatology in Anacortes, Washington and active in the NPI registry since February 2012. The organization holds a CLIA Certificate of Compliance certificate valid through April 4, 2028 and lists Wirt Anderson Hines, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Other Names 2
Group Practice 1
Accepted 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)
Anacortes Dermatology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Anacortes Dermatology, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians, nearest first (4)
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 50D2068408
Anacortes Dermatology · Anacortes, WAFrequently 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 Anacortes Dermatology PC Inc's NPI number?
The NPI number for Anacortes Dermatology PC Inc is 1790057792. It was assigned to this organization in the NPPES registry on February 6, 2012. The provider is doing business as Anacortes Dermatology.
Where is Anacortes Dermatology PC Inc located?
Anacortes Dermatology PC Inc is located at 1801 Commercial Ave, Anacortes, WA 98221. The listed phone number is (360) 399-6036.
What is Anacortes Dermatology PC Inc's specialty?
The primary specialty registered for this NPI is Dermatology, specializing in Procedural Dermatology, with taxonomy code 207NS0135X.
Is Anacortes Dermatology PC Inc enrolled in Medicare?
Yes. Anacortes Dermatology PC Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Anacortes Dermatology PC Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Anacortes Dermatology PC Inc. 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 Nurse Practitioner (3) and Dermatology (1). Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Anacortes Dermatology PC Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 50D2068408) 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 Anacortes Dermatology PC Inc accept?
Health plans from Premera Blue Cross Blue Shield of Alaska list Anacortes Dermatology PC Inc 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 Anacortes Dermatology PC Inc was last updated on February 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Anacortes Dermatology · NPI 1790057792
Procedural Dermatology organization in Anacortes, Washington. Organization record, active in the CMS NPPES registry since February 6, 2012.
## Identity
- **NPI:** 1790057792 (Entity type: Organization)
- **Enumerated:** February 6, 2012
- **Primary specialty:** Dermatology - Procedural Dermatology · taxonomy 207NS0135X
- **Legal business name:** Anacortes Dermatology Pc Inc
- **Also known as:** Anacortes Dermatology PC INC (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Wirt Hines, PRESIDENT
## Practice location
- **Address:** 1801 COMMERCIAL AVE, Anacortes, WA 98221
- **Phone:** (360) 399-6036
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (3), Dermatology (1); 3 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 27, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1790057792) · Data from the CMS NPPES public registry.