Vitale Dermatology PLLC
NPI 1245191915 · Nurse Practitioner · Winchester, KY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Vitale Dermatology PLLC is a Nurse Practitioner organization in Winchester, KY (NPI 1245191915).
Provider details
- NPI number
- 1245191915
- Entity type
- Organization
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Timothy Smallwood, Owner(606) 359-1562
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
Under 1 yr in 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
- 2025-11-20
- Last updated
- 2025-11-20
- Certified
- 2025-11-20
Frequently asked questions
- What is Vitale Dermatology PLLC's NPI number?
- Vitale Dermatology PLLC's National Provider Identifier (NPI) is 1245191915, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Vitale Dermatology PLLC?
- Vitale Dermatology PLLC is classified in the NPPES registry as Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Vitale Dermatology PLLC located?
- Vitale Dermatology PLLC's practice location on file with NPPES is 505 Shoppers Dr Ste 1, Winchester, KY 40391-2808.
- What is Vitale Dermatology PLLC's phone number?
- The practice phone number listed in the NPPES registry for Vitale Dermatology PLLC is (606) 359-1562.
- Does Vitale Dermatology PLLC accept Medicare?
- Vitale Dermatology 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 Vitale Dermatology PLLC?
- The authorized official listed on Vitale Dermatology PLLC's NPPES record is Timothy Smallwood, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Vitale Dermatology PLLC's NPI active?
- Yes — Vitale Dermatology PLLC's NPI (1245191915) is active in the NPPES registry as of the last update on 2025-11-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.