SKIN CANCER INSTITUTE PLLC
NPI 1922463959
Dermatology in Lubbock, TX

Active since December 17, 2015
4709 66TH ST, LUBBOCK, TX 79414(806) 701-5844(806) 701-5845 Get Directions Write a Review

NPPES record last updated: May 21, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Skin Cancer Institute Pllc NPPES

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

SKIN CANCER INSTITUTE PLLC (NPI 1922463959) is a healthcare organization registered as a dermatology in Lubbock, Texas and active in the NPI registry since December 2015. The organization lists Jeffrey Scott Brackeen, Partner, as its authorized official.

NPPES Registry Identity

NPI1922463959
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameSKIN CANCER INSTITUTE PLLC
Location Address4709 66TH STLubbock, TX 79414-4877
Mailing Address4709 66th StLubbock, TX 79414-4877 · (806) 701-5844
Fax(806) 701-5845
Organization SubpartNo
Authorized OfficialJeffrey Scott BrackeenPartner · (806) 701-5844
Enumeration DateDecember 17, 2015
Last NPPES UpdateMay 21, 2024
NPPES CertifiedMay 21, 2024
✔ NPI 1922463959 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.
4709 66TH ST, Lubbock, TX 79414

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)

Skin Cancer Institute Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Skin Cancer Institute PLLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Dermatology
NPI 1427036417
4709 66TH ST
Lubbock, TX 79414
(806) 701-5844
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1891332292
4709 66TH ST
Lubbock, TX 79414
(806) 701-5844
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1922290592
4709 66TH ST
Lubbock, TX 79414
(806) 791-5844
✔ 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 Skin Cancer Institute PLLC's NPI number?

The NPI number for Skin Cancer Institute PLLC is 1922463959. It was assigned to this organization in the NPPES registry on December 17, 2015.

Where is Skin Cancer Institute PLLC located?

Skin Cancer Institute PLLC is located at 4709 66th St, Lubbock, TX 79414. The listed phone number is (806) 701-5844.

What is Skin Cancer Institute PLLC's specialty?

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

Is Skin Cancer Institute PLLC enrolled in Medicare?

Yes. Skin Cancer Institute PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Skin Cancer Institute PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Skin Cancer Institute PLLC, in Dermatology and Nurse Practitioner. 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, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Skin Cancer Institute PLLC was last updated on May 21, 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.