Premier Dermatology Services PLLC
NPI 1154117463 · Dermatology Physician · Bentonville, AR
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Premier Dermatology Services PLLC is a Dermatology Physician organization in Bentonville, AR (NPI 1154117463).
Provider details
- NPI number
- 1154117463
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Sara Fast, Practice Director(479) 876-8501
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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)
- Doing business as
- Premier Dermatology & Aesthetics
- Doing business as
- Premier Dermatology & Aesthetics
Registry dates
- Enumerated
- 2025-04-15
- Last updated
- 2025-08-13
- Certified
- 2025-08-13
Frequently asked questions
- What is Premier Dermatology Services PLLC's NPI number?
- Premier Dermatology Services PLLC's National Provider Identifier (NPI) is 1154117463, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Premier Dermatology Services PLLC?
- Premier Dermatology Services PLLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Premier Dermatology Services PLLC located?
- Premier Dermatology Services PLLC's practice location on file with NPPES is 901 Se Plaza Ave Ste 5, Bentonville, AR 72712-5473.
- What is Premier Dermatology Services PLLC's phone number?
- The practice phone number listed in the NPPES registry for Premier Dermatology Services PLLC is (479) 273-3376.
- Does Premier Dermatology Services PLLC accept Medicare?
- Premier Dermatology Services PLLC 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 Premier Dermatology Services PLLC?
- The authorized official listed on Premier Dermatology Services PLLC's NPPES record is Sara Fast, Practice Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Premier Dermatology Services PLLC's NPI active?
- Yes — Premier Dermatology Services PLLC's NPI (1154117463) is active in the NPPES registry as of the last update on 2025-08-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.