Integrated Dermatology of E Commonwealth Ky Psc
NPI 1255299616 · Nurse Practitioner · Corbin, KY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Integrated Dermatology of E Commonwealth Ky Psc is a Nurse Practitioner organization in Corbin, KY (NPI 1255299616).
Provider details
- NPI number
- 1255299616
- Entity type
- Organization
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Ania Miller, Director of Credentialing(828) 231-9297
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Dermatology Physician207N00000X
Allopathic & Osteopathic Physicians
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
2 documented practice locations
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
Additional practice locations (1)
- 519 Hampton Way Ste 4Richmond, KY 40475-8885Phone: (859) 623-0064Fax: (859) 623-0804
Registry dates
- Enumerated
- 2026-01-14
- Last updated
- 2026-04-10
- Certified
- 2026-04-10
Frequently asked questions
- What is Integrated Dermatology of E Commonwealth Ky Psc's NPI number?
- Integrated Dermatology of E Commonwealth Ky Psc's National Provider Identifier (NPI) is 1255299616, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Integrated Dermatology of E Commonwealth Ky Psc?
- Integrated Dermatology of E Commonwealth Ky Psc is classified in the NPPES registry as Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Integrated Dermatology of E Commonwealth Ky Psc located?
- Integrated Dermatology of E Commonwealth Ky Psc's practice location on file with NPPES is 1101 Master St, Corbin, KY 40701-3511.
- What is Integrated Dermatology of E Commonwealth Ky Psc's phone number?
- The practice phone number listed in the NPPES registry for Integrated Dermatology of E Commonwealth Ky Psc is (606) 528-2881.
- Does Integrated Dermatology of E Commonwealth Ky Psc accept Medicare?
- Integrated Dermatology of E Commonwealth Ky Psc 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 Integrated Dermatology of E Commonwealth Ky Psc?
- The authorized official listed on Integrated Dermatology of E Commonwealth Ky Psc's NPPES record is Ania Miller, Director of Credentialing. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Integrated Dermatology of E Commonwealth Ky Psc's NPI active?
- Yes — Integrated Dermatology of E Commonwealth Ky Psc's NPI (1255299616) is active in the NPPES registry as of the last update on 2026-04-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.