ADVANCED DERMATOLOGY CARE
NPI 1144486978
Dermatology in Stillwater, MN
About Advanced Dermatology Care NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ADVANCED DERMATOLOGY CARE (NPI 1144486978) is a healthcare organization registered as a dermatology in Stillwater, Minnesota and active in the NPI registry since July 2008. The organization lists Olaf Jonathan Rustad, Dermatologist President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
Group Practice 1
Accepted 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)
Advanced Dermatology Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Advanced Dermatology Care, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (3)
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 Advanced Dermatology Care Medical Cosmetic And Surgery PA's NPI number?
The NPI number for Advanced Dermatology Care Medical Cosmetic And Surgery PA is 1144486978. It was assigned to this organization in the NPPES registry on July 31, 2008. The provider is doing business as Advanced Dermatology Care.
Where is Advanced Dermatology Care Medical Cosmetic And Surgery PA located?
Advanced Dermatology Care Medical Cosmetic And Surgery PA is located at 14130 60th St N, Stillwater, MN 55082. The listed phone number is (651) 484-2724.
What is Advanced Dermatology Care Medical Cosmetic And Surgery PA's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Advanced Dermatology Care Medical Cosmetic And Surgery PA enrolled in Medicare?
Yes. Advanced Dermatology Care Medical Cosmetic And Surgery PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Advanced Dermatology Care Medical Cosmetic And Surgery PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Advanced Dermatology Care Medical Cosmetic And Surgery PA, in Dermatology, Internal Medicine and Nurse Practitioner. 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.
What insurance does Advanced Dermatology Care Medical Cosmetic And Surgery PA accept?
Health plans from HealthPartners list Advanced Dermatology Care Medical Cosmetic And Surgery PA 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 Advanced Dermatology Care Medical Cosmetic And Surgery PA was last updated on March 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.