Active NPI
Forefront Dermatology, S.C.
Doing business as dba Minneapolis Plastic Surgery, A Forefront Practice
- Plastic Surgery Physician
- Minneapolis, MN
National Provider Identifier
1528951035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- Legal business name
- FOREFRONT DERMATOLOGY, S.C.
- Doing business as
- dba Minneapolis Plastic Surgery, A Forefront Practice
- Practice address
- 4825 Olson Memorial Hwy Ste 200
Minneapolis, MN 55422-5141 - Phone
- (763) 545-0443
- Fax
- (763) 545-2784
- NPI assigned
- Jun 2, 2025
- Last updated
- Jun 3, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Betsy J Wernli, MD
- Title
- President
- Phone
- (920) 482-0671
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | |||
| Plastic Surgery Physician | 208200000X | Primary | ||
| Plastic and Reconstructive Surgery Physician | 2086S0122X |
Addresses
Primary practice location
4825 Olson Memorial Hwy Ste 200
Minneapolis, MN 55422-5141
Mailing address
801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-9008
Other names 1
- dba Minneapolis Plastic Surgery, A Forefront Practice
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150901000903 | MN | Part B Supplier - Clinic/Group Practice | 3779471701 |
Receives reassigned benefits from 3 practitioners 4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Minneapolis, MN; Rogers, MN |
Other NPIs on the same Medicare enrollment 4
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Tax ID family
- Dermatology Assoc of Wi SC
Organizations with this tax ID in the same state 1
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Dermatology Physician
- Albert Lea, MN
- NPI 1710352299
Locations
4825 Olson Memorial Hwy
Ste 200
Minneapolis, MN 55422
Phone (763) 545-0443
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Dermatology Physician
- Manitowoc, WI
- NPI 1437378973
-
- Plastic and Reconstructive Surgery Physician
- Minneapolis, MN
- NPI 1982261525
Otolaryngology/Facial Plastic Surgery
-
- Physician Assistant
- Rogers, MN
- NPI 1316346950
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748822400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1748908800000",
"number": "1528951035",
"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": "4825 OLSON MEMORIAL HWY STE 200",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554225141",
"telephone_number": "763-545-0443",
"fax_number": "763-545-2784"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOREFRONT DERMATOLOGY, S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2025-06-02",
"last_updated": "2025-06-03",
"certification_date": "2025-06-03",
"status": "A",
"authorized_official_last_name": "WERNLI",
"authorized_official_first_name": "BETSY",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "920-482-0671",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207YX0905X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "2086S0122X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "dba Minneapolis Plastic Surgery, A Forefront Practice",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "dba Minneapolis Plastic Surgery, A Forefront Practice",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.