ALLISON M STAUB DO
NPI 1083104236
Dermatology in St Louis Park, MN
About Allison M Staub Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALLISON M STAUB DO (NPI 1083104236) is an individual dermatology provider in St Louis Park, Minnesota, licensed in Minnesota (69604) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS, is affiliated with Park Nicollet Methodist Hospital, and maintains a secondary practice location in Minneapolis.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Allison M Staub Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Allison Staub reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
St Louis Park, MN 55416
- Reassigned Medicare billing, Minnesota enrollment
- 2,527 clinicians in this Medicare group
Minneapolis, MN 55404
- Reassigned Medicare billing, Minnesota enrollment
- 1,247 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Park Nicollet Methodist Hospital
Acute Care Hospitals · Saint Louis Park, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55416 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MINNEAPOLIS, MN 55416
ST LOUIS PARK, MN 55416
ST LOUIS PARK, MN 55416
ST LOUIS PARK, MN 55416
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 Allison Staub's NPI number?
The NPI number for Allison Staub is 1083104236. It was assigned to this individual provider in the NPPES registry on May 14, 2018.
Where is Allison Staub located?
Allison Staub practices at 3800 Park Nicollet Blvd, St Louis Park, MN 55416. The listed phone number is (952) 993-3376.
What is Allison Staub's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Allison Staub enrolled in Medicare?
Yes. Allison Staub is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Allison Staub's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Allison Staub reassigns Medicare benefits to 2 organizations: Park Nicollet Clinic (St Louis Park, MN) and Hennepin Healthcare System, Inc (Minneapolis, MN). Each 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 Allison Staub's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Allison Staub accept?
Health plans from HealthPartners list Allison Staub 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.
Is Allison Staub affiliated with any hospitals?
According to CMS data, Allison Staub is affiliated with Park Nicollet Methodist Hospital.
When was this NPI record last updated?
The NPPES record for Allison Staub was last updated on August 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Allison M Staub, DO · NPI 1083104236
Dermatology physician in St Louis Park, Minnesota. Individual provider, active in the CMS NPPES registry since May 14, 2018.
## Identity
- **NPI:** 1083104236 (Entity type: Individual)
- **Enumerated:** May 14, 2018
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **State license:** 69604 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 3800 PARK NICOLLET BLVD, St Louis Park, MN 55416-2527
- **Phone:** (952) 993-3376
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Park Nicollet Clinic (NPI 1063897593, St Louis Park, MN); Hennepin Healthcare System, Inc (NPI 1962914333, Minneapolis, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Des Moines University Of Osteopathic Medicine And Health Sciences, class of 2018
## Record status
- **NPPES last updated:** August 29, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1083104236) · Data from the CMS NPPES public registry.