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LARK DERMATOLOGY
NPI 1982256970
Dermatology in Bonney Lake, WA

Active since July 10, 2019
21137 STATE ROUTE 410 E STE I, BONNEY LAKE, WA 98391(253) 862-5275 Get Directions Write a Review

NPPES record last updated: January 21, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 21, 2020, Jul 24, 2019, Jul 10, 2019 (3 updates tracked since 2019).

About Lark Dermatology NPPES

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

LARK DERMATOLOGY (NPI 1982256970) is a healthcare organization registered as a dermatology in Bonney Lake, Washington and active in the NPI registry since July 2019. The organization lists Daniel Levy, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1982256970
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameLARK DERMATOLOGY
Location Address21137 STATE ROUTE 410 E STE IBonney Lake, WA 98391-8775
Mailing Address21137 State Route 410 E Ste IBonney Lake, WA 98391-8775 · (253) 862-5275
Phone(253) 862-5275
Organization SubpartNo
Authorized OfficialDaniel LevyMedical Director · (253) 862-5257
Enumeration DateJuly 10, 2019
Last NPPES UpdateJanuary 21, 20203 updates tracked since enumeration
✔ NPI 1982256970 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.
21137 STATE ROUTE 410 E STE I, Bonney Lake, WA 98391
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.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)

Lark Dermatology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Lark Dermatology, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Daniel Levy, MD
Dermatology
NPI 1306067814
21137 STATE ROUTE 410 E STE I
Bonney Lake, WA 98391
(253) 862-5275
✔ PECOS✔ Accepts MedicareSame address
Quyen Stevenson, ARNP
Nurse Practitioner
NPI 1497988505
1660 S COLUMBIAN WAY
Seattle, WA 98108
(206) 762-1010
✔ PECOS✔ Accepts Medicare28 mi

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 Lark Dermatology's NPI number?

The NPI number for Lark Dermatology is 1982256970. It was assigned to this organization in the NPPES registry on July 10, 2019.

Where is Lark Dermatology located?

Lark Dermatology is located at 21137 State Route 410 E Ste I, Bonney Lake, WA 98391. The listed phone number is (253) 862-5275.

What is Lark Dermatology's specialty?

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

Is Lark Dermatology enrolled in Medicare?

Yes. Lark Dermatology is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lark Dermatology?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Lark Dermatology, 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, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Lark Dermatology accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Lark Dermatology 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 Lark Dermatology was last updated on January 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.