Grand Island Dermatology PC
NPI 1609836535 · Dermatology Physician · Grand Island, NE
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Grand Island Dermatology PC is a Dermatology Physician organization in Grand Island, NE (NPI 1609836535).
Provider details
- NPI number
- 1609836535
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Patrick Sheridan, Administrator(308) 384-9300
- License
- 22426 (NE)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
- 2006-03-24
- Last updated
- 2022-07-21
Frequently asked questions
- What is Grand Island Dermatology PC's NPI number?
- Grand Island Dermatology PC's National Provider Identifier (NPI) is 1609836535, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Grand Island Dermatology PC?
- Grand Island Dermatology PC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Grand Island Dermatology PC located?
- Grand Island Dermatology PC's practice location on file with NPPES is 418 N Webb Rd, Grand Island, NE 68803-4045.
- What is Grand Island Dermatology PC's phone number?
- The practice phone number listed in the NPPES registry for Grand Island Dermatology PC is (308) 384-9300.
- Does Grand Island Dermatology PC accept Medicare?
- Grand Island Dermatology PC 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 Grand Island Dermatology PC?
- The authorized official listed on Grand Island Dermatology PC's NPPES record is Patrick Sheridan, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Grand Island Dermatology PC's NPI active?
- Yes — Grand Island Dermatology PC's NPI (1609836535) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.