Betsy Jane Wernli, M.D

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

55439 Issued in WI

Practice address

1515 Randolph CT
Manitowoc, WI 54220-8345

Phone

(920) 683-5278

Fax

(920) 482-0359

NPI assigned

Apr 24, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 9

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

97.45 of 100Reported as group

Promoting interoperability

97

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: betsy.wernli@forefrontdermatology.emadirect.md
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Appleton, WI
  • NPI 1083768253
  Medicare reassignment Care Compare group NPD Authorized official
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Manitowoc, WI
  • NPI 1578515904
  NPD Authorized official
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Columbus, OH
  • NPI 1063365385
  NPD Authorized official
• Forefront Dermatology - East Professional, LLC

  • Dermatology Physician
  • Florham Park, NJ
  • NPI 1265008940
  NPD (past) Authorized official
• Forefront Dermatology - New Hampshire, PLLC

  dba Seacoast Dermatology, A Forefront Dermatology Practice

  • Dermatology Physician
  • Dover, NH
  • NPI 1295422707
  NPD (past) Authorized official
• Forefront Dermatology - Pacific, P.C.

  dba SkinPhysicians & Surgeons, A Forefront Dermatology Practice

  • Dermatology Physician
  • Upland, CA
  • NPI 1487480448
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1437378973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 RANDOLPH CT",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542208345",
            "telephone_number": "920-683-5278",
            "fax_number": "920-482-0359"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2600 N Mayfair Rd Ste 810",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532261328",
            "country_code": "US",
            "telephone_number": "414-771-1122",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "715 Superior Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Green Bay",
            "state": "WI",
            "postal_code": "543117595",
            "country_code": "US",
            "telephone_number": "920-406-9803",
            "fax_number": "920-406-9934",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3515 Murray St",
            "address_purpose": "LOCATION",
            "city": "Marinette",
            "state": "WI",
            "postal_code": "541433367",
            "country_code": "US",
            "telephone_number": "715-732-0699",
            "fax_number": "715-732-3522",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 Wisconsin American Dr",
            "address_purpose": "LOCATION",
            "city": "Fond Du Lac",
            "state": "WI",
            "postal_code": "549376725",
            "country_code": "US",
            "telephone_number": "920-923-0788",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "451 E Brooklyn St Ste 5",
            "address_purpose": "LOCATION",
            "city": "Chilton",
            "state": "WI",
            "postal_code": "530141595",
            "country_code": "US",
            "telephone_number": "920-849-2100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "N4531 State Highway 22 Ste 5",
            "address_purpose": "LOCATION",
            "city": "Shawano",
            "state": "WI",
            "postal_code": "541666173",
            "country_code": "US",
            "telephone_number": "715-524-5995",
            "fax_number": "715-953-4257",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "835 S Main St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Oconto Falls",
            "state": "WI",
            "postal_code": "541541282",
            "country_code": "US",
            "telephone_number": "920-846-4864",
            "fax_number": "920-846-2073",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2806 Riverview Dr",
            "address_purpose": "LOCATION",
            "city": "Green Bay",
            "state": "WI",
            "postal_code": "543136717",
            "country_code": "US",
            "telephone_number": "920-498-7546",
            "fax_number": "920-569-4129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WERNLI",
        "first_name": "BETSY",
        "middle_name": "JANE",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WI",
            "license": "55439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Betsy.Wernli@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "111 Wisconsin American Dr",
            "city": "Fond Du Lac",
            "state": "WI",
            "country_code": "US",
            "postal_code": "549376725",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Betsy.Wernli@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "N4531 State Highway 22 Ste 5",
            "city": "Shawano",
            "state": "WI",
            "country_code": "US",
            "postal_code": "541666173",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Betsy.Wernli@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "715 Superior Rd Ste 120",
            "city": "Green Bay",
            "state": "WI",
            "country_code": "US",
            "postal_code": "543117595",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Betsy.Wernli@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "451 E Brooklyn St Ste 5",
            "city": "Chilton",
            "state": "WI",
            "country_code": "US",
            "postal_code": "530141595",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Betsy.Wernli@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "2600 N Mayfair Rd Ste 810",
            "city": "Milwaukee",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532261328",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Betsy.Wernli@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "3515 Murray St",
            "city": "Marinette",
            "state": "WI",
            "country_code": "US",
            "postal_code": "541433367",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Betsy.Wernli@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "1515 Randolph Ct",
            "city": "Manitowoc",
            "state": "WI",
            "country_code": "US",
            "postal_code": "542208345",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Betsy.Wernli@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "835 S Main St Ste 1",
            "city": "Oconto Falls",
            "state": "WI",
            "country_code": "US",
            "postal_code": "541541282",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Betsy.Wernli@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "2806 Riverview Dr",
            "city": "Green Bay",
            "state": "WI",
            "country_code": "US",
            "postal_code": "543136717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cynthia Fay Wenzel, LPN
• Jared John Wenzel, RPH, PHARMD
• Jacob Daniel Werbeckes, PHARMD
• Elizabeth J Wergin, DPT
• Lee A Werner, NP
• Bobbie Jo Whalen
• Christine Margaret Whatley, P.T.
• Susan Wheeler
• Donna Mae Whitehead, RN
• Jennifer A Whitney, RN, RCS

• Dermatology Physician in Manitowoc, WI
• Providers in Manitowoc, WI by specialty
• Dermatology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.