NPIMap

Organization Active NPI

Forefront Dermatology, S.C.

  • Dermatology Physician
  • Vienna, VA
National Provider Identifier
1891169975
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
FOREFRONT DERMATOLOGY, S.C.
Practice address
8301 Old Courthouse Rd
Vienna, VA 22182
Phone
(703) 442-0300
Fax
(703) 442-0337
NPI assigned
Nov 30, 2015
Last updated
Jan 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Authorized official

Name
Dr. Betsy J Wernli, MDNPI 1437378973
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)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary
MOHS-Micrographic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ND0101X
Procedural Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207NS0135X

Addresses

Primary practice location

8301 Old Courthouse Rd
Vienna, VA 22182

Mailing address

801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-9008

Other practice location 1

3025 Hamaker Ct Ste 300
Fairfax, VA 22031-2237
Phone (703) 849-8036

Other practice location 2

5201 Hickory Park Dr Ste A
Glen Allen, VA 23059-2623
Phone (804) 262-6060

Other practice location 3

3833 Fairfax Dr Ste 360
Arlington, VA 22203-1774
Phone (571) 363-4791

Other practice location 4

8266 Atlee Rd Ste 230
Mechanicsville, VA 23116-1813
Phone (804) 789-5990

Other practice location 5

66 Parkway Ln Ste 101A
Fishersville, VA 22939-2385
Phone (540) 451-2833

Other practice location 6

2206 Executive Dr Ste F
Hampton, VA 23666-2583
Phone (757) 825-1440

Other practice location 7

1157 First Colonial Rd Ste 300
Virginia Beach, VA 23454-2432
Phone (757) 333-8001

Other practice location 8

5249 Providence Rd
Virginia Beach, VA 23464-4201
Phone (757) 467-3900

Other practice location 9

563 Neff Ave Ste A
Harrisonburg, VA 22801-3765
Phone (540) 434-1756

Other practice location 10

3459 Old Halifax Rd Ste I
South Boston, VA 24592-4900
Phone (434) 549-0383

Other practice location 11

44 Medical Park Blvd Ste A
Petersburg, VA 23805-9351
Phone (804) 324-4511

Other practice location 12

7650 E Parham Rd Ste 110
Richmond, VA 23294-4376
Phone (804) 916-7062

Other practice location 13

620 Grassfield Pkwy Ste 100
Chesapeake, VA 23322-7449
Phone (757) 394-8696

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20160421001476 DC Part B Supplier - Clinic/Group Practice 3779471701 Receives reassigned benefits from 14 practitioners
2 other NPIs on this enrollment
Practice locations: Alexandria, VA; Arlington, VA; Bethesda, MD; Fairfax, VA; Vienna, VA; Washington, DC
O20180508002045 VA Part B Supplier - Clinic/Group Practice 3779471701 Receives reassigned benefits from 40 practitioners
4 other NPIs on this enrollment
Practice locations: Virginia Beach, VA; Suffolk, VA; Glen Allen, VA; South Boston, VA; Richmond, VA; Petersburg, VA; Mechanicsville, VA; Lynchburg, VA…

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D0675623Forefront Dermatology8301 Old Courthouse Rd, Vienna, VA 22182ComplianceJan 8, 2027
49D0928337Forefront Dermatology SC3459 Old Halifax Road Suite I, South Boston, VA 24592Provider-performed microscopyJan 29, 2028
49D1011927Forefront Dermatology SC5201 Hickory Park Drive Suite a, Glen Allen, VA 23059ComplianceNov 19, 2027
49D1021651Forefront Dermatology SC1157 First Colonial Road - Suite 300, Virginia Beach, VA 23454ComplianceJul 28, 2028
49D1097592Forefront Dermatology, SC2206 Executive Drive - Suite F, Hampton, VA 23666Provider-performed microscopyJan 31, 2027
49D2069999Forefront Dermatology, SC563 Neff Avenue, Ste a, Harrisonburg, VA 22801Provider-performed microscopyDec 8, 2027
49D2139632Forefront Dermatology, SC44 Medical Park Blvd, Suite a, Petersburg, VA 23805Provider-performed microscopyNov 5, 2027
49D2164414Forefront Dermatology, SC3833 Fairfax Dr Ste 360, Arlington, VA 22203Provider-performed microscopyApr 3, 2027
49D2169225Forefront Dermatology, SC8266 Atlee Rd Ste 230, Mechanicsville, VA 23116Provider-performed microscopyJul 16, 2027
49D2229800Forefront Dermatology SC66 Parkway LN Suite 101a, Fishersville, VA 22939Provider-performed microscopySep 30, 2026
49D2276794Forefront Dermatology, SC7650 E Parham Rd, Suite 110, Richmond, VA 23294Certificate of waiverFeb 14, 2027
49D2290067Forefront Dermatology, SC620 Grassfield Pkwy, Suite 100, Chesapeake, VA 23322ComplianceJul 9, 2028

National Provider Directory

National Provider Directory

Locations

3025 Hamaker Ct
Ste 300
Fairfax, VA 22031
Phone (703) 661-9189

66 Parkway Ln
Ste 101A
Fishersville, VA 22939
Phone (540) 451-2833

8266 Atlee Rd
Ste 230
Mechanicsville, VA 23116
Phone (804) 730-0792

3459 Old Halifax Rd
Ste I
South Boston, VA 24592
Phone (434) 549-0383

Practitioners & affiliated clinicians

Practitioners 56

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.

View all 56

NPI Registry JSON

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

{
    "created_epoch": "1448841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736812800000",
    "number": "1891169975",
    "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": "8301 OLD COURTHOUSE RD",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "22182",
            "telephone_number": "703-442-0300",
            "fax_number": "703-442-0337"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3025 Hamaker Ct Ste 300",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220312237",
            "country_code": "US",
            "telephone_number": "703-849-8036",
            "fax_number": "703-204-3448",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5201 Hickory Park Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Glen Allen",
            "state": "VA",
            "postal_code": "230592623",
            "country_code": "US",
            "telephone_number": "804-262-6060",
            "fax_number": "804-262-6422",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3833 Fairfax Dr Ste 360",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "222031774",
            "country_code": "US",
            "telephone_number": "571-363-4791",
            "fax_number": "571-363-4792",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8266 Atlee Rd Ste 230",
            "address_purpose": "LOCATION",
            "city": "Mechanicsville",
            "state": "VA",
            "postal_code": "231161813",
            "country_code": "US",
            "telephone_number": "804-789-5990",
            "fax_number": "804-789-5989",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "66 Parkway Ln Ste 101A",
            "address_purpose": "LOCATION",
            "city": "Fishersville",
            "state": "VA",
            "postal_code": "229392385",
            "country_code": "US",
            "telephone_number": "540-451-2833",
            "fax_number": "540-451-2837",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2206 Executive Dr Ste F",
            "address_purpose": "LOCATION",
            "city": "Hampton",
            "state": "VA",
            "postal_code": "236662583",
            "country_code": "US",
            "telephone_number": "757-825-1440",
            "fax_number": "757-825-1587",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1157 First Colonial Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234542432",
            "country_code": "US",
            "telephone_number": "757-333-8001",
            "fax_number": "757-333-8002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5249 Providence Rd",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234644201",
            "country_code": "US",
            "telephone_number": "757-467-3900",
            "fax_number": "757-467-7800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "563 Neff Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Harrisonburg",
            "state": "VA",
            "postal_code": "228013765",
            "country_code": "US",
            "telephone_number": "540-434-1756",
            "fax_number": "540-434-1840",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3459 Old Halifax Rd Ste I",
            "address_purpose": "LOCATION",
            "city": "South Boston",
            "state": "VA",
            "postal_code": "245924900",
            "country_code": "US",
            "telephone_number": "434-549-0383",
            "fax_number": "434-549-0384",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "44 Medical Park Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "Petersburg",
            "state": "VA",
            "postal_code": "238059351",
            "country_code": "US",
            "telephone_number": "804-324-4511",
            "fax_number": "804-835-5103",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7650 E Parham Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232944376",
            "country_code": "US",
            "telephone_number": "804-916-7062",
            "fax_number": "804-918-2172",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "620 Grassfield Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233227449",
            "country_code": "US",
            "telephone_number": "757-394-8696",
            "fax_number": "757-793-2183",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FOREFRONT DERMATOLOGY, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-30",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "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": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; 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.