Skin Envy Wayne LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

SKIN ENVY WAYNE LLC

Practice address

120 W 2ND St Ste 1
Wayne, NE 68787-1957

Phone

(531) 519-6074

Fax

(531) 519-6858

NPI assigned

Dec 12, 2025

Last updated

Dec 12, 2025By the provider in NPPES

Organization subpart

Yes

Parent organization

SKIN ENVY DERMATOLOGYAs reported in NPPES

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

Authorized official

Name

Debra Baker, NPNPI 1619326709

Title

Owner/NP

Phone

(402) 936-6198

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Part of

Skin Envy Dermatology

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Skin Envy Dermatology

  • Nurse Practitioner
  • Fremont, NE
  • NPI 1154895209
  NPPES parent name

Practitioners 4

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.

• Samantha Lynn Dorcey

  • Nurse Practitioner
  • Wayne, NE
  • NPI 1962366039
  Medicare reassignment NPD
• Debra Baker, APRN

  • Nurse Practitioner
  • Fremont, NE
  • NPI 1619326709
  NPD Authorized official
• Brittany N Burbach, APRN

  • Family Nurse Practitioner
  • Fremont, NE
  • NPI 1841737467
  NPD
• Samantha K Bauer

  • Family Nurse Practitioner
  • Powell, TN
  • NPI 1972147908
  NPD

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

{
    "created_epoch": "1765497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765497600000",
    "number": "1922962091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3140 E ELK LN STE 600",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680258650",
            "telephone_number": "402-936-6198",
            "fax_number": "402-816-4402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W 2ND ST STE 1",
            "city": "WAYNE",
            "state": "NE",
            "postal_code": "687871957",
            "telephone_number": "531-519-6074",
            "fax_number": "531-519-6858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKIN ENVY WAYNE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SKIN ENVY DERMATOLOGY",
        "enumeration_date": "2025-12-12",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "OWNER/NP",
        "authorized_official_telephone_number": "402-936-6198",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greg W Seier, ATC
• Kazi Shafayeth
• Shopko Stores Operating Co LLC (Shopko Pharmacy 670)
• Mohamed Siidow
• Rachel Renee Sindelar, OD
• Astria Smith
• Kelli Smith
• Olivia Grace Smith
• Lauren Spore, DC
• Tashrif Tamim

• Nurse Practitioner in Wayne, NE
• Providers in Wayne, NE by specialty
• Nurse Practitioner in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.

Verify at the official NPI Registry.