Active NPI
Kelly Michele Wilmas, MD
- Dermatology Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 2023014180
- 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
- Last updated
- Jul 17, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 01097954A | IN | |
| Dermatology Physician | 207N00000X | 2023014180 | MO | Primary |
| MOHS-Micrographic Surgery Physician | 207ND0101X | 01097954A | IN | |
| MOHS-Micrographic Surgery Physician | 207ND0101X | 2023014180 | MO |
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
130 Richardson Xing Ste 130
Arnold, MO 63010-6023
Phone (636) 489-4770
Other practice location 3
1223 Maple St
Farmington, MO 63640-7616
Phone (573) 760-0091
Other practice location 4
70 W 94th Pl
Crown Point, IN 46307-1710
Phone (219) 662-8822
Other practice location 5
8567 Watson Rd Ste A
Webster Groves, MO 63119-5251
Phone (314) 528-9040
Electronic endpoints 6
| 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 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- 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 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- 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 |
| Forefront Dermatology SC | 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, 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
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dermatology Physician
- Saint Louis, MO
- NPI 1891179040
-
- Dermatology Physician
- Seymour, IN
- NPI 1659796225
-
- MOHS-Micrographic Surgery Physician
- Saint Louis, MO
- NPI 1659304061
-
- Dermatology Physician
- Fort Wayne, IN
- NPI 1578097572
-
- Dermatology Physician
- Columbus, OH
- NPI 1063365385
-
- Dermatology Physician
- Manitowoc, WI
- NPI 1578515904
-
- Dermatology Physician
- Colorado Springs, CO
- NPI 1881305084
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784246400000",
"number": "1972008290",
"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": "12855 N 40 DR STE 180",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631418657",
"telephone_number": "314-878-5599",
"fax_number": "314-392-4290"
}
],
"practiceLocations": [
{
"address_1": "4020 NEW VISION DR",
"address_purpose": "LOCATION",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468451737",
"country_code": "US",
"telephone_number": "260-423-2567",
"fax_number": "260-420-2415",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "130 Richardson Xing Ste 130",
"address_purpose": "LOCATION",
"city": "Arnold",
"state": "MO",
"postal_code": "630106023",
"country_code": "US",
"telephone_number": "636-489-4770",
"fax_number": "636-489-4880",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1223 Maple St",
"address_purpose": "LOCATION",
"city": "Farmington",
"state": "MO",
"postal_code": "636407616",
"country_code": "US",
"telephone_number": "573-760-0091",
"fax_number": "573-760-8844",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "70 W 94th Pl",
"address_purpose": "LOCATION",
"city": "Crown Point",
"state": "IN",
"postal_code": "463071710",
"country_code": "US",
"telephone_number": "219-662-8822",
"fax_number": "219-662-8833",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8567 Watson Rd Ste A",
"address_purpose": "LOCATION",
"city": "Webster Groves",
"state": "MO",
"postal_code": "631195251",
"country_code": "US",
"telephone_number": "314-528-9040",
"fax_number": "314-528-9041",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILMAS",
"first_name": "KELLY",
"middle_name": "MICHELE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-28",
"last_updated": "2026-07-17",
"certification_date": "2026-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "IN",
"license": "01097954A",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "MO",
"license": "2023014180",
"primary": true
},
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "IN",
"license": "01097954A",
"primary": false
},
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "MO",
"license": "2023014180",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Kelly.Wilmas@forefrontdermatology.emadirect.md",
"affiliation": "N",
"address_1": "4020 NEW VISION DR",
"city": "FORT WAYNE",
"state": "IN",
"country_code": "US",
"postal_code": "468451737",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Kelly.Wilmas@forefrontdermatology.emadirect.md",
"affiliation": "N",
"address_1": "70 W 94th Pl",
"city": "Crown Point",
"state": "IN",
"country_code": "US",
"postal_code": "463071710",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Kelly.Wilmas@forefrontdermatology.emadirect.md",
"affiliation": "N",
"address_1": "8567 Watson Rd Ste A",
"city": "Webster Groves",
"state": "MO",
"country_code": "US",
"postal_code": "631195251",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Kelly.Wilmas@forefrontdermatology.emadirect.md",
"affiliation": "N",
"address_1": "1223 Maple St",
"city": "Farmington",
"state": "MO",
"country_code": "US",
"postal_code": "636407616",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Kelly.Wilmas@forefrontdermatology.emadirect.md",
"affiliation": "N",
"address_1": "130 Richardson Xing Ste 130",
"city": "Arnold",
"state": "MO",
"country_code": "US",
"postal_code": "630106023",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Kelly.Wilmas@forefrontdermatology.emadirect.md",
"affiliation": "N",
"address_1": "12855 N 40 Dr Ste 180",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631418657",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Saint Louis, MO
- Victoria Lynn Wills, MD
- Wilma and the Messengers (WTMM Adult Day Health Care Center)
- Wilma in-Home Angels Inc
- Jill D Wilmarth, RNC, NNP,BC
- John H Wilmas Jr., M.D.
- Jacob Michael Wilmes, PMHNP-BC
- Wilmington Chiropractic Clinic, LLC
- Wilmington Clinic D.C., P.C.
- Tara Wilmot, RDN, LD
- Nicholas Jon Wilsdorf, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.