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ANACORTES DERMATOLOGY
NPI 1790057792
Dermatology - Procedural Dermatology in Anacortes, WA

Active since February 06, 2012CLIA 50D2068408 · Certificate of Compliance
1801 COMMERCIAL AVE, ANACORTES, WA 98221(360) 399-6036 Get Directions Write a Review

NPPES record last updated: February 27, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 22, 2019, Mar 16, 2019 (2 updates tracked since 2019).

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

NPI1790057792
Entity TypeOrganization
Primary Taxonomy207NS0135X
Legal Business NameANACORTES DERMATOLOGY PC INC
Location Address1801 COMMERCIAL AVEAnacortes, WA 98221
Mailing Address1801 Commercial AveAnacortes, WA 98221 · (360) 399-6036 · Fax (360) 588-1691
Phone(360) 399-6036
Organization SubpartNo
Authorized OfficialWirt Anderson HinesPresident · (360) 395-8768
Enumeration DateFebruary 6, 2012
Last NPPES UpdateFebruary 27, 20242 updates tracked since enumeration
✔ NPI 1790057792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyDermatology · Procedural DermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207NS0135X
Definition
Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).
Also ListedDermatologyTaxonomy 207N00000X
Also ListedDermatology · Pediatric DermatologyTaxonomy 207NP0225X
Also ListedClinic/CenterTaxonomy 261Q00000X · License MD00045767 (WA)
1801 COMMERCIAL AVE, Anacortes, WA 98221
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Other Names 2

Doing Business AsAnacortes Dermatology
Doing Business AsAnacortes Dermatology Pc Inc

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 ›

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, WA
Active · expires Apr 4, 2028
CLIA Number50D2068408
Laboratory TypePhysician Office
Certificate Effective DateNovember 4, 2013
Certificate Expiration DateApril 4, 2028
Laboratory DirectorWirt A. Hines
Laboratory Phone(360) 399-6036
Laboratory LocationAnacortes Dermatology1801 Commercial Ave, Anacortes, WA 98221
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMANDA LYNN HAMLIN ARNP
Nurse Practitioner (Family)
1801 COMMERCIAL AVE
ANACORTES, WA 98221
Skagit County (360) 399-6036
DR. WIRT ANDERSON HINES III MD
Dermatology (MOHS-Micrographic Surgery)
1801 COMMERCIAL AVE
ANACORTES, WA 98221
Skagit County (360) 399-6036
EMMA NYGARD
Nurse Practitioner
1801 COMMERCIAL AVE
ANACORTES, WA 98221
Skagit County (360) 399-6036

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 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.

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.