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SKIN ENVY WAYNE LLC
NPI 1922962091
Nurse Practitioner in Wayne, NE

Active since December 12, 2025
120 W 2ND ST STE 1, WAYNE, NE 68787(531) 519-6074(531) 519-6858 Get Directions Write a Review

NPPES record last updated: December 12, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Skin Envy Wayne Llc NPPES

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

SKIN ENVY WAYNE LLC (NPI 1922962091) is a healthcare organization registered as a nurse practitioner in Wayne, Nebraska and active in the NPI registry since December 2025. The organization lists Debra Baker, Owner/np, as its authorized official.

NPPES Registry Identity

NPI1922962091
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameSKIN ENVY WAYNE LLC
Location Address120 W 2ND ST STE 1Wayne, NE 68787-1957
Mailing Address3140 E Elk Ln Ste 600Fremont, NE 68025-8650 · (402) 936-6198 · Fax (402) 816-4402
Phone(531) 519-6074
Fax(531) 519-6858
Organization SubpartYesParent: Skin Envy Dermatology
Authorized OfficialDebra BakerOwner/np · (402) 936-6198
Enumeration DateDecember 12, 2025
NPPES CertifiedDecember 12, 2025
✔ NPI 1922962091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
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.
120 W 2ND ST STE 1, Wayne, NE 68787
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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 Envy Wayne Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Skin Envy Wayne LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Samantha Dorcey
Nurse Practitioner
NPI 1962366039
120 W 2ND ST STE 1
Wayne, NE 68787
(531) 519-6074
✔ PECOSSame 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 Envy Wayne LLC's NPI number?

The NPI number for Skin Envy Wayne LLC is 1922962091. It was assigned to this organization in the NPPES registry on December 12, 2025.

Where is Skin Envy Wayne LLC located?

Skin Envy Wayne LLC is located at 120 W 2nd St Ste 1, Wayne, NE 68787. The listed phone number is (531) 519-6074.

What is Skin Envy Wayne LLC's specialty?

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

Is Skin Envy Wayne LLC enrolled in Medicare?

Yes. Skin Envy Wayne LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Skin Envy Wayne LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Skin Envy Wayne 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. 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 Envy Wayne LLC was last updated on December 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.