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DAKOTA DERMATOLOGY AT SPIRIT LAKE PC
NPI 1073287678
Dermatology in Spirit Lake, IA

Active since August 06, 2021CLIA Certified · 2 labs
2700 23RD ST STE C, SPIRIT LAKE, IA 51360(605) 330-9619 Get Directions Write a Review

NPPES record last updated: February 25, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 24, 2021, Aug 6, 2021 (2 updates tracked since 2021).

About Dakota Dermatology At Spirit Lake Pc NPPES

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

DAKOTA DERMATOLOGY AT SPIRIT LAKE PC (NPI 1073287678), doing business as Dakota Dermatology At Spirit Lake, is a healthcare organization registered as a dermatology in Spirit Lake, Iowa and active in the NPI registry since August 2021. The organization holds 2 active CLIA laboratory certificates and lists Jameson Colin Mcgrann, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1073287678
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameDAKOTA DERMATOLOGY AT SPIRIT LAKE PC
Location Address2700 23RD ST STE CSpirit Lake, IA 51360-1158
Mailing Address4950 S Minnesota AveSioux Falls, SD 57108-2708 · (605) 330-9619 · Fax (605) 330-9503
Phone(605) 330-9619
Organization SubpartYesParent: Dakota Dermatology, Ltd
Authorized OfficialJameson Colin McgrannPractice Manager · (605) 330-9619
Enumeration DateAugust 6, 2021
Last NPPES UpdateFebruary 25, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 25, 2026
✔ NPI 1073287678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
2700 23RD ST STE C, Spirit Lake, IA 51360
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Other Names 1

Doing Business AsDakota Dermatology At Spirit Lake

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dakota Dermatology At Spirit Lake Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Dakota Dermatology At Spirit Lake PC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (3)

Kelly Jerstad, MD
Dermatology
NPI 1417954470
4950 S MINNESOTA AVE
Sioux Falls, SD 57108
(605) 330-9619
✔ PECOS✔ Accepts Medicare81 mi
Sarah Sarbacker, MD
Dermatology
NPI 1598762544
4950 S MINNESOTA AVE
Sioux Falls, SD 57108
(605) 330-9619
✔ PECOS✔ Accepts Medicare81 mi
Kendra Watson, M.D.
Dermatology
NPI 1740623776
4950 S MINNESOTA AVE
Sioux Falls, SD 57108
(605) 330-9619
✔ PECOS81 mi

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

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 16D2232771

Dakota Dermatology At Spirit Lake · Spirit Lake, IA
Active · expires Mar 28, 2028
CLIA Number16D2232771
Laboratory TypePhysician Office
Certificate Effective DateMarch 29, 2026
Certificate Expiration DateMarch 28, 2028
Laboratory DirectorKendra D. Watson
Laboratory Phone(605) 330-9619
Laboratory LocationDakota Dermatology At Spirit Lake2700 23rd Street, Suite C, Spirit Lake, IA 51360
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 43D0926810

Dakota Dermatology Ltd · Sioux Falls, SD
Active · expires Feb 23, 2028
CLIA Number43D0926810
Laboratory TypePhysician Office
Certificate Effective DateFebruary 24, 2026
Certificate Expiration DateFebruary 23, 2028
Laboratory DirectorCarmen Schwartz
Laboratory Phone(605) 330-9619
Laboratory LocationDakota Dermatology Ltd4950 South Minnesota Ave, Sioux Falls, SD 57108
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Dakota Dermatology At Spirit Lake PC's NPI number?

The NPI number for Dakota Dermatology At Spirit Lake PC is 1073287678. It was assigned to this organization in the NPPES registry on August 6, 2021. The provider is doing business as Dakota Dermatology at Spirit Lake.

Where is Dakota Dermatology At Spirit Lake PC located?

Dakota Dermatology At Spirit Lake PC is located at 2700 23rd St Ste C, Spirit Lake, IA 51360. The listed phone number is (605) 330-9619.

What is Dakota Dermatology At Spirit Lake PC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Dakota Dermatology At Spirit Lake PC enrolled in Medicare?

Yes. Dakota Dermatology At Spirit Lake PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dakota Dermatology At Spirit Lake PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Dermatology, reassign their Medicare billing to Dakota Dermatology At Spirit Lake PC. 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.

Does Dakota Dermatology At Spirit Lake PC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Dakota Dermatology At Spirit Lake PC accept?

Health plans from Avera Health Plans and Sanford Health Plan list Dakota Dermatology At Spirit Lake PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dakota Dermatology At Spirit Lake PC was last updated on February 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.