BEAUTIFUL YOU DERMATOLOGY LLC
NPI 1033818976
Nurse Practitioner - Family in Big Lake, MN

Active since February 28, 2023
310 LAKE ST S, BIG LAKE, MN 55309(319) 215-5752 Get Directions Write a Review

NPPES record last updated: July 11, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 11, 2023, Feb 28, 2023 (2 updates tracked since 2023).

About Beautiful You Dermatology Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BEAUTIFUL YOU DERMATOLOGY LLC (NPI 1033818976) is a healthcare organization registered as a family in Big Lake, Minnesota and active in the NPI registry since February 2023. The organization lists Crista Beth Wenisch, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1033818976
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameBEAUTIFUL YOU DERMATOLOGY LLC
Location Address310 LAKE ST SBig Lake, MN 55309-4616
Mailing Address310 Lake St SBig Lake, MN 55309-4616 · (319) 215-5752
Organization SubpartNo
Authorized OfficialCrista Beth WenischNurse Practitioner · (319) 215-5752
Enumeration DateFebruary 28, 2023
Last NPPES UpdateJuly 11, 20232 updates tracked since enumeration
NPPES CertifiedJuly 11, 2023
✔ NPI 1033818976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
310 LAKE ST S, Big Lake, MN 55309

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Beautiful You Dermatology Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Beautiful You Dermatology LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1235401464
14000 NICOLLET AVE STE 304
Burnsville, MN 55337
(952) 898-1600
✔ PECOS✔ Accepts Medicare47 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Beautiful You Dermatology LLC's NPI number?

The NPI number for Beautiful You Dermatology LLC is 1033818976. It was assigned to this organization in the NPPES registry on February 28, 2023.

Where is Beautiful You Dermatology LLC located?

Beautiful You Dermatology LLC is located at 310 Lake St S, Big Lake, MN 55309. The listed phone number is (319) 215-5752.

What is Beautiful You Dermatology LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Beautiful You Dermatology LLC enrolled in Medicare?

Yes. Beautiful You Dermatology LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Beautiful You Dermatology LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Beautiful You Dermatology LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Beautiful You Dermatology LLC was last updated on July 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.