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ST. CROIX DERMATOLOGY, PA
NPI 1215008362
Clinic/Center in Stillwater, MN

Active since November 12, 2006
1950 CURVE CREST BLVD W STE 100, STILLWATER, MN 55082(651) 275-0500 Get Directions Write a Review

NPPES record last updated: May 9, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About St. Croix Dermatology, Pa NPPES

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

ST. CROIX DERMATOLOGY, PA (NPI 1215008362) is a healthcare organization registered as a clinic/center in Stillwater, Minnesota and active in the NPI registry since November 2006. The organization lists Christine Kay Markus, President, as its authorized official.

NPPES Registry Identity

NPI1215008362
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameST. CROIX DERMATOLOGY, PA
Location Address1950 CURVE CREST BLVD W STE 100Stillwater, MN 55082-6062
Mailing Address1950 Curve Crest Blvd W Ste 100Stillwater, MN 55082-6062 · (651) 275-0500
Phone(651) 275-0500
Organization SubpartNo
Authorized OfficialChristine Kay MarkusPresident · (651) 275-0500
Enumeration DateNovember 12, 2006
Last NPPES UpdateMay 9, 2008
✔ NPI 1215008362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in MN · 1504
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1950 CURVE CREST BLVD W STE 100, Stillwater, MN 55082
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Other Identifiers 1

Medicare PINC02710MN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

St. Croix Dermatology, Pa 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 St. Croix Dermatology, PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Christine Markus, M.D.
Dermatology
NPI 1982775029
1950 CURVE CREST BLVD W STE 100
Stillwater, MN 55082
(651) 275-0500
✔ PECOS✔ Accepts MedicareSame address

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

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 Waiver 24D2120648

St Croix Dermatology PA · Stillwater, MN
Expired · Oct 19, 2026
CLIA Number24D2120648
Laboratory TypePhysician Office
Certificate Effective DateOctober 20, 2024
Certificate Expiration DateOctober 19, 2026
Laboratory DirectorChristine K. Markus
Laboratory Phone(651) 275-0500
Laboratory LocationSt Croix Dermatology PA1950 Curve Crest Blvd West, Stillwater, MN 55082
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 St. Croix Dermatology, PA's NPI number?

The NPI number for St. Croix Dermatology, PA is 1215008362. It was assigned to this organization in the NPPES registry on November 12, 2006.

Where is St. Croix Dermatology, PA located?

St. Croix Dermatology, PA is located at 1950 Curve Crest Blvd W Ste 100, Stillwater, MN 55082. The listed phone number is (651) 275-0500.

What is St. Croix Dermatology, PA's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is St. Croix Dermatology, PA enrolled in Medicare?

Yes. St. Croix Dermatology, PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through St. Croix Dermatology, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to St. Croix Dermatology, PA. 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 St. Croix Dermatology, PA was last updated on May 9, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.