ATOMIC DERMATOLOGY
NPI 1891363719
Nurse Practitioner in Walla Walla, WA
About Atomic Dermatology NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ATOMIC DERMATOLOGY (NPI 1891363719) is a healthcare organization registered as a nurse practitioner in Walla Walla, Washington and active in the NPI registry since June 2021. The organization lists Jo Kiehn, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 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)
Atomic Dermatology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Atomic Dermatology, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
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 Atomic2 Dermatology PLLC's NPI number?
The NPI number for Atomic2 Dermatology PLLC is 1891363719. It was assigned to this organization in the NPPES registry on June 16, 2021. The provider is doing business as Atomic Dermatology.
Where is Atomic2 Dermatology PLLC located?
Atomic2 Dermatology PLLC is located at 105 S 3rd Ave, Walla Walla, WA 99362. The listed phone number is (509) 240-2554.
What is Atomic2 Dermatology PLLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Atomic2 Dermatology PLLC enrolled in Medicare?
Yes. Atomic2 Dermatology PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Atomic2 Dermatology PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Atomic2 Dermatology PLLC. 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 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Atomic2 Dermatology PLLC accept?
Health plans from Ambetter Health and Premera Blue Cross Blue Shield of Alaska list Atomic2 Dermatology PLLC 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 Atomic2 Dermatology PLLC 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.
# Atomic Dermatology · NPI 1891363719
Nurse Practitioner organization in Walla Walla, Washington. Organization record, active in the CMS NPPES registry since June 16, 2021.
## Identity
- **NPI:** 1891363719 (Entity type: Organization)
- **Enumerated:** June 16, 2021
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **Legal business name:** Atomic2 Dermatology Pllc
- **Organization subpart:** No
- **Authorized official:** Jo Kiehn, ADMINISTRATOR
## Practice location
- **Address:** 105 S 3RD AVE, Walla Walla, WA 99362-2848
- **Phone:** (509) 240-2554
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 9, 2023
- **Other identifiers:** Medicaid 2089475 (WA)
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Source: [NPI Profile](https://npiprofile.com/npi/1891363719) · Data from the CMS NPPES public registry.