Commonwealth Community Care Centers, LLC
NPI 1568094670 · Procedural Dermatology Physician · Prestonsburg, KY
Commonwealth Community Care Centers, LLC is a Procedural Dermatology Physician organization in Prestonsburg, KY (NPI 1568094670).
Provider details
- NPI number
- 1568094670
- Entity type
- Organization
- Primary specialty
- Procedural Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Yvette Wisener, Billing(256) 258-9603
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Obstetrics & Gynecology Physician207V00000X
Allopathic & Osteopathic Physicians
- Family Nurse Practitioner363LF0000X
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
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 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 (3)
- 601 N Shore Dr Ste 203Jeffersonville, IN 47130-3145Phone: (606) 263-4283Fax: (606) 263-4285
- 4010 Dupont Cir Ste 370Louisville, KY 40207-4881Phone: (606) 263-4283Fax: (606) 263-4285
- 2008 Merchant DrRichmond, KY 40475-8188Phone: (606) 263-4283Fax: (606) 263-4285
Registry dates
- Enumerated
- 2020-02-06
- Last updated
- 2022-09-02
- Certified
- 2022-09-02
Frequently asked questions
- What is Commonwealth Community Care Centers, LLC's NPI number?
- Commonwealth Community Care Centers, LLC's National Provider Identifier (NPI) is 1568094670, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Commonwealth Community Care Centers, LLC?
- Commonwealth Community Care Centers, LLC is classified in the NPPES registry as Procedural Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Commonwealth Community Care Centers, LLC located?
- Commonwealth Community Care Centers, LLC's practice location on file with NPPES is 154 N Lake Dr, Prestonsburg, KY 41653-1270.
- What is Commonwealth Community Care Centers, LLC's phone number?
- The practice phone number listed in the NPPES registry for Commonwealth Community Care Centers, LLC is (606) 506-5093.
- Who is the authorized official for Commonwealth Community Care Centers, LLC?
- The authorized official listed on Commonwealth Community Care Centers, LLC's NPPES record is Yvette Wisener, Billing. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Commonwealth Community Care Centers, LLC's NPI active?
- Yes — Commonwealth Community Care Centers, LLC's NPI (1568094670) is active in the NPPES registry as of the last update on 2022-09-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.