Mid-Columbia Dermatology, LLC
NPI 1033457395 · Nurse Practitioner · Richland, WA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mid-Columbia Dermatology, LLC is a Nurse Practitioner organization in Richland, WA (NPI 1033457395).
Provider details
- NPI number
- 1033457395
- Entity type
- Organization
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Jennifer Mccullugh, Managing Member(509) 619-5936
- License
- AP60140231 (WA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-01-22
- Last updated
- 2013-01-22
Frequently asked questions
- What is Mid-Columbia Dermatology, LLC's NPI number?
- Mid-Columbia Dermatology, LLC's National Provider Identifier (NPI) is 1033457395, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mid-Columbia Dermatology, LLC?
- Mid-Columbia Dermatology, LLC is classified in the NPPES registry as Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Mid-Columbia Dermatology, LLC located?
- Mid-Columbia Dermatology, LLC's practice location on file with NPPES is 309 Bradley Blvd, Richland, WA 99352-4381.
- What is Mid-Columbia Dermatology, LLC's phone number?
- The practice phone number listed in the NPPES registry for Mid-Columbia Dermatology, LLC is (509) 619-5936.
- Does Mid-Columbia Dermatology, LLC accept Medicare?
- Mid-Columbia Dermatology, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Mid-Columbia Dermatology, LLC?
- The authorized official listed on Mid-Columbia Dermatology, LLC's NPPES record is Jennifer Mccullugh, Managing Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mid-Columbia Dermatology, LLC's NPI active?
- Yes — Mid-Columbia Dermatology, LLC's NPI (1033457395) is active in the NPPES registry as of the last update on 2013-01-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.