Dermatology Outreach, LLC
NPI 1558678623 · Family Nurse Practitioner · Bridgeport, WV
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Dermatology Outreach, LLC is a Family Nurse Practitioner organization in Bridgeport, WV (NPI 1558678623).
Provider details
- NPI number
- 1558678623
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Kristi Lafferty, Owner(304) 842-3341
- License
- 50679 (WV)
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
15 yrs 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
Registry dates
- Enumerated
- 2010-09-09
- Last updated
- 2013-05-17
Frequently asked questions
- What is Dermatology Outreach, LLC's NPI number?
- Dermatology Outreach, LLC's National Provider Identifier (NPI) is 1558678623, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dermatology Outreach, LLC?
- Dermatology Outreach, LLC is classified in the NPPES registry as Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Dermatology Outreach, LLC located?
- Dermatology Outreach, LLC's practice location on file with NPPES is 111 State St., Bridgeport, WV 26330.
- What is Dermatology Outreach, LLC's phone number?
- The practice phone number listed in the NPPES registry for Dermatology Outreach, LLC is (304) 842-3341.
- Does Dermatology Outreach, LLC accept Medicare?
- Dermatology Outreach, 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 Dermatology Outreach, LLC?
- The authorized official listed on Dermatology Outreach, LLC's NPPES record is Kristi Lafferty, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dermatology Outreach, LLC's NPI active?
- Yes — Dermatology Outreach, LLC's NPI (1558678623) is active in the NPPES registry as of the last update on 2013-05-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.