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MOD DERMATOLOGY PC
NPI 1982105425
Dermatology in Omaha, NE

Active since February 21, 2018CLIA Certified · 3 labs
16910 FRANCES ST, OMAHA, NE 68130(402) 505-8777(402) 933-7767 Get Directions Write a Review

NPPES record last updated: January 20, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 20, 2023, Apr 20, 2022, Mar 12, 2021 and 2 more (5 updates tracked since 2018).

About Mod Dermatology Pc NPPES

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

MOD DERMATOLOGY PC (NPI 1982105425) is a healthcare organization registered as a dermatology in Omaha, Nebraska and active in the NPI registry since February 2018. The organization holds 3 active CLIA laboratory certificates, maintains a secondary practice location in Fremont, and lists Alaina Patera, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1982105425
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameMOD DERMATOLOGY PC
Location Address16910 FRANCES STOmaha, NE 68130-2398
Mailing Address16910 Frances StOmaha, NE 68130-2398 · (402) 505-8777 · Fax (402) 933-7767
Phone(402) 505-8777
Fax(402) 933-7767
Organization SubpartNo
Authorized OfficialAlaina PateraPractice Manager · (402) 505-8777
Enumeration DateFebruary 21, 2018
Last NPPES UpdateJanuary 20, 20235 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2023
✔ NPI 1982105425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in NE · 28493
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.
Also ListedSpecialistTaxonomy 174400000X
Also ListedPhysician AssistantTaxonomy 363A00000X
16910 FRANCES ST, Omaha, NE 68130
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Secondary Practice Location 1

Location 11106 E 18th StFremont, NE 68025-3224 · Phone (402) 505-8777 · Fax (402) 933-7767

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 Blue Cross and Blue Shield of Nebraska, Medica.Insurance ›

CLIA Laboratory Certificates CMS CLIA 3

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 28D2145408

Mod Dermatology, PC · Omaha, NE
Active · expires Sep 23, 2026
CLIA Number28D2145408
Laboratory TypePhysician Office
Certificate Effective DateSeptember 24, 2024
Certificate Expiration DateSeptember 23, 2026
Laboratory DirectorDr. Melanie A. Ortleb
Laboratory Phone(402) 505-8777
Laboratory LocationMod Dermatology, PC16910 Frances St, Omaha, NE 68130
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.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 28D2327117

Mod Dermatology Fremont · Fremont, NE
Active · expires Jul 15, 2027
CLIA Number28D2327117
Laboratory TypePhysician Office
Certificate Effective DateJuly 16, 2025
Certificate Expiration DateJuly 15, 2027
Laboratory DirectorMelanie A. Ortleb
Laboratory Phone(402) 505-8777
Laboratory LocationMod Dermatology Fremont1810 N Bell St, Fremont, NE 68025
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 28D2327118

Mod Dermatology Blackstone · Omaha, NE
Active · expires Jul 15, 2027
CLIA Number28D2327118
Laboratory TypePhysician Office
Certificate Effective DateJuly 16, 2025
Certificate Expiration DateJuly 15, 2027
Laboratory DirectorMelanie A. Ortleb
Laboratory Phone(402) 505-8777
Laboratory LocationMod Dermatology Blackstone144 S 40th St, Omaha, NE 68131
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 14

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

MELANIE A ORTLEB M.D.
Dermatology
16910 FRANCES ST
OMAHA, NE 68130
Douglas County (402) 505-8777
KELLY SUZANNE NELSON PT, PCS
Physical Therapist
16910 FRANCES ST, STE. 102
OMAHA, NE 68130
Douglas County (402) 932-3355
AMY K PRICE PA-C
Physician Assistant
16910 FRANCES ST
OMAHA, NE 68130
Douglas County (402) 505-8777
AMANDA HOTOVY
Physician Assistant
16910 FRANCES ST
OMAHA, NE 68130
Douglas County (402) 505-8777
JENNIFER A FURZE PT, DPT, PCS
Physical Therapist
16910 FRANCES ST, SUITE 102
OMAHA, NE 68130
Douglas County (402) 932-3355
ANNA DOMINA OTD, OTR/L
Occupational Therapist
16910 FRANCES ST, SUITE 102
OMAHA, NE 68130
Douglas County (402) 280-2200
JACY VERMAAS-LEE M.A., OTR/L
Occupational Therapist
16910 FRANCES ST, SUITE 102
OMAHA, NE 68130
Douglas County (402) 280-5183
VICTORIA VANROY
Dermatology
16910 FRANCES ST
OMAHA, NE 68130
Douglas County (402) 505-8777

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 Mod Dermatology PC's NPI number?

The NPI number for Mod Dermatology PC is 1982105425. It was assigned to this organization in the NPPES registry on February 21, 2018.

Where is Mod Dermatology PC located?

Mod Dermatology PC is located at 16910 Frances St, Omaha, NE 68130. The listed phone number is (402) 505-8777.

What is Mod Dermatology PC's specialty?

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

Does Mod Dermatology PC hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Mod Dermatology PC accept?

Health plans from Blue Cross and Blue Shield of Nebraska and Medica list Mod Dermatology PC 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 Mod Dermatology PC was last updated on January 20, 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.