Kelly Michele Wilmas, MD
Individual provider Active NPI Dermatology Physician · Saint Louis, MO
NPI 1972008290 · NPPES record last updated Jul 17, 2026
Key facts
- NPI
- 1972008290
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dermatology Physician 207N00000X
- License
- 2023014180 (MO)
- Practice address
- 12855 N 40 Dr Ste 180
Saint Louis, MO 63141-8657 - Phone
- (314) 878-5599
- Fax
- (314) 392-4290
- NPI assigned
- Mar 28, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Medicare Care Compare profile
- Specialty
- Dermatology
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Forefront Dermatology SC
Practice addresses (Care Compare)
12855 N 40 Dr
Suite 180
Saint Louis, MO 63141-8657
Phone (314) 878-5599
4020 New Vision Dr
Fort Wayne, IN 46845-1737
Phone (260) 423-2567
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.45 of 100
- Promoting interoperability
- 97
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 112 |
| Removal of skin lesions | 85 |
| Removal of skin cancer | 660 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 20 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MO, IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230515000280 | MO | Practitioner - Dermatology | 2769869353 | Reassigns benefits to 1 organization |
| I20251025000108 | IN | Practitioner - Dermatology |
2769869353 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01097954A | IN | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Forefront Dermatology, S.C. | Dermatology | Current |
Accepting new patients |
| St. Louis Dermatology and Surgery Center, PC | Mohs-Micrographic Surgery | Current | Accepting new patients |
| Forefront Dermatology, S.C. | Dermatology | Current |
Accepting new patients |
| Forefront Dermatology SC | Dermatology | Current |
Accepting new patients |
| Forefront Dermatology, S.C. | Dermatology | Current | Accepting new patients |
| Forefront Dermatology, S.C. | Dermatology | Past | Accepting new patients |
| Forefront Dermatology, S.C. | Dermatology | Past | Accepting new patients |
Locations
70 W 94th Pl
Crown Point, IN 46307
Phone (219) 662-8822
7516 Eagle Crest Blvd
Ste D
Evansville, IN 47715
Phone (812) 401-8999
4020 New Vision Dr
Fort Wayne, IN 46845
Phone (260) 423-2567
303 S Walnut St
Seymour, IN 47274
Phone (812) 358-7705
130 Richardson Xing
Ste 130
Arnold, MO 63010
Phone (636) 489-4770
1223 Maple St
Farmington, MO 63640
Phone (573) 760-0091
12855 N 40 Dr
Ste 180
Saint Louis, MO 63141
Phone (314) 878-5599
8567 Watson Rd
Ste A
Webster Groves, MO 63119
Phone (314) 528-9040
801 York St
Manitowoc, WI 54220
Phone (866) 630-9882
Interoperability endpoints
- kelly.wilmas@forefrontdermatology.emadirect.md
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| MOHS-Micrographic Surgery Physician | 207ND0101X | 01097954A | IN | |
| Dermatology Physician | 207N00000X | 01097954A | IN | |
| MOHS-Micrographic Surgery Physician | 207ND0101X | 2023014180 | MO | |
| Dermatology Physician | 207N00000X | 2023014180 | MO | Yes |
Addresses
Primary practice location
12855 N 40 Dr Ste 180
Saint Louis, MO 63141-8657
Mailing address
801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-9008
Other practice location 1
4020 New Vision Dr
Fort Wayne, IN 46845-1737
Phone (260) 423-2567
Other practice location 2
8567 Watson Rd Ste A
Webster Groves, MO 63119-5251
Phone (314) 528-9040
Other practice location 3
130 Richardson Xing Ste 130
Arnold, MO 63010-6023
Phone (636) 489-4770
Other practice location 4
1223 Maple St
Farmington, MO 63640-7616
Phone (573) 760-0091
Other practice location 5
70 W 94th Pl
Crown Point, IN 46307-1710
Phone (219) 662-8822
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Kelly.Wilmas@forefrontdermatology.emadirect.md | ||
| Direct Messaging Address | Kelly.Wilmas@forefrontdermatology.emadirect.md | ||
| Direct Messaging Address | Kelly.Wilmas@forefrontdermatology.emadirect.md | ||
| Direct Messaging Address | Kelly.Wilmas@forefrontdermatology.emadirect.md | ||
| Direct Messaging Address | Kelly.Wilmas@forefrontdermatology.emadirect.md | ||
| Direct Messaging Address | Kelly.Wilmas@forefrontdermatology.emadirect.md |
Other providers in Saint Louis, MO
- Victoria Lynn Wills
- Wilma and the Messengers
- Wilma in-Home Angels Inc
- Jill D Wilmarth
- John H Wilmas Jr.
- Jacob Michael Wilmes
- Wilmington Chiropractic Clinic, LLC
- Wilmington Clinic D.C., P.C.
- Tara Wilmot
- Nicholas Jon Wilsdorf
All providers in Saint Louis, MO · Dermatology Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.