Phelan Dermatology & Aesthetics
NPI 1942881677 · Dermatology Physician · Joplin, MO
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Phelan Dermatology & Aesthetics is a Dermatology Physician organization in Joplin, MO (NPI 1942881677).
Provider details
- NPI number
- 1942881677
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jorge Martinez, Practice Administrator(417) 622-0293
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- MOHS-Micrographic Surgery Physician207ND0101X
Allopathic & Osteopathic Physicians
- Procedural Dermatology Physician207NS0135X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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)
- 21088 US Business Highway 71#7Pineville, MO 64856Phone: (417) 622-0293Fax: (833) 275-1784
Registry dates
- Enumerated
- 2021-04-15
- Last updated
- 2024-12-24
- Certified
- 2024-12-24
Frequently asked questions
- What is Phelan Dermatology & Aesthetics's NPI number?
- Phelan Dermatology & Aesthetics's National Provider Identifier (NPI) is 1942881677, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Phelan Dermatology & Aesthetics?
- Phelan Dermatology & Aesthetics is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Phelan Dermatology & Aesthetics located?
- Phelan Dermatology & Aesthetics's practice location on file with NPPES is 520 E 32nd St, Joplin, MO 64804-3904.
- What is Phelan Dermatology & Aesthetics's phone number?
- The practice phone number listed in the NPPES registry for Phelan Dermatology & Aesthetics is (417) 622-0293.
- Does Phelan Dermatology & Aesthetics accept Medicare?
- Phelan Dermatology & Aesthetics 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 Phelan Dermatology & Aesthetics?
- The authorized official listed on Phelan Dermatology & Aesthetics's NPPES record is Jorge Martinez, Practice Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Phelan Dermatology & Aesthetics's NPI active?
- Yes — Phelan Dermatology & Aesthetics's NPI (1942881677) is active in the NPPES registry as of the last update on 2024-12-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.