BLUE OCEAN DERMATOLOGY LLC
NPI 1992045272
Dermatology in Port Orange, FL

Active since February 22, 2013
3951 S NOVA RD, SUITE 3, PORT ORANGE, FL 32127(386) 256-1444 Get Directions Write a Review

NPPES record last updated: August 18, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Blue Ocean Dermatology Llc NPPES

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

BLUE OCEAN DERMATOLOGY LLC (NPI 1992045272) is a healthcare organization registered as a dermatology in Port Orange, Florida and active in the NPI registry since February 2013. The organization maintains 2 additional practice locations and lists Nitra H Welch, Cfo, as its authorized official.

NPPES Registry Identity

NPI1992045272
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameBLUE OCEAN DERMATOLOGY LLC
Location Address3951 S NOVA RD, SUITE 3Port Orange, FL 32127
Mailing Address3951 S Nova Rd, Suite 3Port Orange, FL 32127-9270 · (386) 256-1444
Organization SubpartNo
Authorized OfficialNitra H WelchCfo · (386) 256-1444
Enumeration DateFebruary 22, 2013
Last NPPES UpdateAugust 18, 2025
NPPES CertifiedAugust 18, 2025
✔ NPI 1992045272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedDermatology · DermatopathologyTaxonomy 207ND0900X
3951 S NOVA RD, Port Orange, FL 32127

Secondary Practice Locations 2

Location 11004 N Parrott AveOkeechobee, FL 34972-2110 · Phone (863) 226-5466 · Fax (321) 400-1118
Location 21840 Greenwich AveWinter Park, FL 32789-4012 · Phone (407) 644-4212 · Fax (321) 400-1118

Other Identifiers 1

Medicaid008597300FL

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

23

Medicare enrollment records show 23 clinicians reassign Medicare billing to Blue Ocean Dermatology LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 6 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 4

Dermatology11
Nurse Practitioner8
Plastic and Reconstructive Surgery3
Family Practice1

Nearest to this location (20)

See all 23
Nurse Practitioner
NPI 1245080332
3951 S NOVA RD
Port Orange, FL 32127
(386) 256-1444
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1396791109
3951 S NOVA RD SUITE 3
Port Orange, FL 32127
(386) 256-1444
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1821141714
3951 S NOVA RD SUITE 3
Port Orange, FL 32127
(386) 256-1444
✔ PECOS✔ Accepts MedicareSame address
Plastic and Reconstructive Surgery
NPI 1174678908
311 N CLYDE MORRIS BLVD STE 500 HALIFAX HEALTH MEDICAL CENTER
Daytona Beach, FL 32114
(386) 258-3223
✔ PECOS✔ Accepts Medicare6.5 mi
Family Practice
NPI 1881154524
612 PALMETTO ST
New Smyrna Beach, FL 32168
(386) 423-5500
✔ PECOS✔ Accepts Medicare8.3 mi
Dermatology
NPI 1811457419
612 PALMETTO ST
New Smyrna Beach, FL 32168
(386) 423-5500
✔ PECOS✔ Accepts Medicare8.3 mi
Dermatology
NPI 1134389364
258 TREEMONTE DR STE 258
Orange City, FL 32763
(386) 628-3376
✔ PECOS✔ Accepts Medicare23 mi
Plastic and Reconstructive Surgery
NPI 1982895223
3272 W LAKE MARY BLVD STE 1810
Lake Mary, FL 32746
(407) 478-3151
✔ PECOS✔ Accepts Medicare32 mi
Dermatology
NPI 1316920747
451 MAITLAND AVE
Altamonte Springs, FL 32701
(407) 599-7546
✔ PECOS✔ Accepts Medicare39 mi
Dermatology
NPI 1952337966
10250 SE 167TH PLACE RD UNIT 5
Summerfield, FL 34491
(352) 307-9925
✔ PECOS✔ Accepts Medicare60 mi
Nurse Practitioner
NPI 1124203294
400 N TAMPA ST FL 15
Tampa, FL 33602
(888) 803-3370
✔ PECOS✔ Accepts Medicare120 mi
Nurse Practitioner
NPI 1144906744
5210 WEBB RD
Tampa, FL 33615
(813) 882-9986
✔ PECOS✔ Accepts Medicare123 mi
Nurse Practitioner
NPI 1043635675
3860 SUN CITY CENTER BLVD
Ruskin, FL 33573
(813) 633-1980
✔ PECOS✔ Accepts Medicare128 mi
Plastic and Reconstructive Surgery
NPI 1164496360
323 SE OSCEOLA ST
Stuart, FL 34994
(772) 546-3223
✔ PECOS✔ Accepts Medicare140 mi
Dermatology
NPI 1205885506
2065 S. KANNER HIGHWAY
Stuart, FL 34994
(772) 398-3376
✔ PECOS✔ Accepts Medicare141 mi
Dermatology
NPI 1497810493
13770 PLANTATION RD STE 103
Fort Myers, FL 33912
(941) 444-0011
✔ PECOS✔ Accepts Medicare185 mi
Nurse Practitioner
NPI 1285295139
16461 DOMESTIC AVENUE
Fort Myers, FL 33912
(772) 667-7688
✔ PECOS✔ Accepts Medicare187 mi
Dermatology
NPI 1700997988
1998 HENDERSONVILLE RD STE 53
Asheville, NC 28803
(828) 585-5489
✔ PECOS448 mi
Nurse Practitioner
NPI 1598288292
3044 WOODGROVE DRIVE
Grove City, OH 43123
(772) 342-4463
✔ PECOS✔ Accepts Medicare751 mi
Dermatology
NPI 1659876308
6820 RIDGE ROAD SUITE #204
Parma, OH 44129
(440) 845-1146
✔ PECOS✔ Accepts Medicare846 mi
See all 23 clinicians

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 Blue Ocean Dermatology LLC's NPI number?

The NPI number for Blue Ocean Dermatology LLC is 1992045272. It was assigned to this organization in the NPPES registry on February 22, 2013.

Where is Blue Ocean Dermatology LLC located?

Blue Ocean Dermatology LLC is located at 3951 S Nova Rd Suite 3, Port Orange, FL 32127. The listed phone number is (386) 256-1444.

What is Blue Ocean Dermatology LLC's specialty?

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

Is Blue Ocean Dermatology LLC enrolled in Medicare?

Yes. Blue Ocean Dermatology LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Blue Ocean Dermatology LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 23 clinicians in 4 Medicare specialties reassign their Medicare billing to Blue Ocean Dermatology 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. The largest specialties are Dermatology (11), Nurse Practitioner (8) and Plastic and Reconstructive Surgery (3). Of these, 3 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Blue Ocean Dermatology LLC accept?

Health plans from Ambetter Health, Ambetter of Alabama, AmeriHealth Caritas Next, AvMed and Cigna HealthCare of Florida, Inc. and 5 other insurers list Blue Ocean Dermatology LLC 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 Blue Ocean Dermatology LLC was last updated on August 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.