Skin Envy Dermatology
NPI 1154895209ActiveOrganization· Nurse Practitioner· Fremont, NE
Nurse Practitioner in Fremont, Nebraska, registered in NPPES in January 2019. The authorized official on file is Debra Lynn Baker, NP, Owner/Np. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1154895209 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 11, 2019 |
| Last updated in NPPES | Jan 13, 2021 |
| Certified by provider | Jan 12, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NE) |
|---|
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