Dermcare & Healthcare Clinic, LLC
NPI 1053804740 · Nurse Practitioner · Centralia, IL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Dermcare & Healthcare Clinic, LLC is a Nurse Practitioner organization in Centralia, IL (NPI 1053804740).
Provider details
- NPI number
- 1053804740
- Entity type
- Organization
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Tracy Arnold, Owner, Np-C(618) 918-2566
- License
- 209009665 (IL)
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
8 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
Other names (DBA / former)
- Former legal business name
- Dermatology and Medical Clinic, LLC
Registry dates
- Enumerated
- 2018-06-07
- Last updated
- 2020-01-22
- Certified
- 2020-01-22
Frequently asked questions
- What is Dermcare & Healthcare Clinic, LLC's NPI number?
- Dermcare & Healthcare Clinic, LLC's National Provider Identifier (NPI) is 1053804740, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dermcare & Healthcare Clinic, LLC?
- Dermcare & Healthcare Clinic, LLC is classified in the NPPES registry as Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Dermcare & Healthcare Clinic, LLC located?
- Dermcare & Healthcare Clinic, LLC's practice location on file with NPPES is 1007 M L King Dr Ste 1, Centralia, IL 62801-3009.
- What is Dermcare & Healthcare Clinic, LLC's phone number?
- The practice phone number listed in the NPPES registry for Dermcare & Healthcare Clinic, LLC is (618) 918-2566.
- Does Dermcare & Healthcare Clinic, LLC accept Medicare?
- Dermcare & Healthcare Clinic, 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 Dermcare & Healthcare Clinic, LLC?
- The authorized official listed on Dermcare & Healthcare Clinic, LLC's NPPES record is Tracy Arnold, Owner, Np-C. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dermcare & Healthcare Clinic, LLC's NPI active?
- Yes — Dermcare & Healthcare Clinic, LLC's NPI (1053804740) is active in the NPPES registry as of the last update on 2020-01-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.