Clinic for Dermatology & Wellness LLC
NPI 1467908863 · Family Nurse Practitioner · Medford, OR
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Clinic for Dermatology & Wellness LLC is a Family Nurse Practitioner organization in Medford, OR (NPI 1467908863).
Provider details
- NPI number
- 1467908863
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Joseph Atzenbeck, Chief Executive Officer(541) 200-2777
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Physician Assistant363A00000X
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
10 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)
- 2937 Siskiyou Blvd Ste 1Medford, OR 97504-8100Phone: (541) 200-2777Fax: (541) 214-2575
Registry dates
- Enumerated
- 2016-08-26
- Last updated
- 2021-06-19
- Certified
- 2021-06-19
Frequently asked questions
- What is Clinic for Dermatology & Wellness LLC's NPI number?
- Clinic for Dermatology & Wellness LLC's National Provider Identifier (NPI) is 1467908863, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Clinic for Dermatology & Wellness LLC?
- Clinic for Dermatology & Wellness LLC is classified in the NPPES registry as Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Clinic for Dermatology & Wellness LLC located?
- Clinic for Dermatology & Wellness LLC's practice location on file with NPPES is 2924 Siskiyou Blvd Ste 200, Medford, OR 97504-6462.
- What is Clinic for Dermatology & Wellness LLC's phone number?
- The practice phone number listed in the NPPES registry for Clinic for Dermatology & Wellness LLC is (541) 200-2793.
- Does Clinic for Dermatology & Wellness LLC accept Medicare?
- Clinic for Dermatology & Wellness 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 Clinic for Dermatology & Wellness LLC?
- The authorized official listed on Clinic for Dermatology & Wellness LLC's NPPES record is Joseph Atzenbeck, Chief Executive Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Clinic for Dermatology & Wellness LLC's NPI active?
- Yes — Clinic for Dermatology & Wellness LLC's NPI (1467908863) is active in the NPPES registry as of the last update on 2021-06-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.