Premier Dermatology, Ltd.
NPI 1467898007 · Dermatology Physician · Waterloo, IA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Premier Dermatology, Ltd. is a Dermatology Physician organization in Waterloo, IA (NPI 1467898007).
Provider details
- NPI number
- 1467898007
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Justin Ellerbroek, Owner(319) 233-3044
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
13 yrs in NPPES 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)
- 312 9th St Sw Ste 2000Waverly, IA 50677-2909Phone: (319) 234-6000Fax: (319) 234-6001
Registry dates
- Enumerated
- 2013-05-21
- Last updated
- 2024-02-01
- Certified
- 2024-02-01
Frequently asked questions
- What is Premier Dermatology, Ltd.'s NPI number?
- Premier Dermatology, Ltd.'s National Provider Identifier (NPI) is 1467898007, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Premier Dermatology, Ltd.?
- Premier Dermatology, Ltd. is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Premier Dermatology, Ltd. located?
- Premier Dermatology, Ltd.'s practice location on file with NPPES is 3741 Pheasant Ln, Waterloo, IA 50701-5215.
- What is Premier Dermatology, Ltd.'s phone number?
- The practice phone number listed in the NPPES registry for Premier Dermatology, Ltd. is (319) 234-6000.
- Does Premier Dermatology, Ltd. accept Medicare?
- Premier Dermatology, Ltd. 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, Ltd.?
- The authorized official listed on Premier Dermatology, Ltd.'s NPPES record is Justin Ellerbroek, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Premier Dermatology, Ltd.'s NPI active?
- Yes — Premier Dermatology, Ltd.'s NPI (1467898007) is active in the NPPES registry as of the last update on 2024-02-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.