Midwest Dermatology Clinic, P.C.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

MIDWEST DERMATOLOGY CLINIC, P.C.

Practice address

8601 W Dodge Rd Ste 240
Omaha, NE 68114-3430

Phone

(402) 933-0800

Fax

(513) 721-2918

NPI assigned

Jan 18, 2006

Last updated

Jan 5, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Colleen M McCoy

Title

Practice Administrator

Phone

(531) 710-4063

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 8

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.

• Melissa Diamantis Darling, MD

  • Dermatology Physician
  • Omaha, NE
  • NPI 1558686378
  Medicare reassignment Care Compare group NPD
• Ashley Dee Dewey, DNP

  • Family Nurse Practitioner
  • Norfolk, NE
  • NPI 1063306900
  Medicare reassignment Care Compare group NPD
• Justin Gerhard Madson, MD

  • Dermatology Physician
  • Omaha, NE
  • NPI 1528217395
  Medicare reassignment Care Compare group NPD
• Jason S. Papenfuss, M.D.

  • Dermatology Physician
  • Omaha, NE
  • NPI 1881784973
  Medicare reassignment Care Compare group NPD
• Collin R. Parker, MD

  • Dermatology Physician
  • Omaha, NE
  • NPI 1427431873
  Medicare reassignment Care Compare group NPD
• Alexa M Paley, PA-C

  • Physician Assistant
  • Omaha, NE
  • NPI 1942852199
  Medicare reassignment Care Compare group
• Jessica Reynen, PA-C

  • Physician Assistant
  • Omaha, NE
  • NPI 1619606043
  Medicare reassignment Care Compare group
• Zoe Brenden

  • Student in an Organized Health Care Education/Training Program
  • Norfolk, NE
  • NPI 1962317388
  NPD (past)

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767571200000",
    "number": "1568442572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 S 171ST ST STE 100",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681304651",
            "telephone_number": "402-933-0800",
            "fax_number": "531-721-2918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8601 W DODGE RD STE 240",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681143430",
            "telephone_number": "402-933-0800",
            "fax_number": "513-721-2918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST DERMATOLOGY CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-18",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A",
        "authorized_official_last_name": "MCCOY",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "531-710-4063"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "2941",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "CO3220",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dermatology Physician in Omaha, NE
• Providers in Omaha, NE by specialty
• Dermatology Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.