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

Active since November 12, 2006CLIA 24D2120648 · Waiver
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: August 16, 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 holds a CLIA Waiver certificate valid through October 19, 2026 and 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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

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
Active · expires 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.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PATRICK PETROSKY PA-C
Physician Assistant
1950 CURVE CREST BLVD W STE 100
STILLWATER, MN 55082
Washington County (651) 430-3800
RHONDA J KIMLER PT, CRP
Physical Therapist (Orthopedic)
1950 CURVE CREST BLVD W STE 100
STILLWATER, MN 55082
Washington County (651) 430-3800
CHRISTINE KAY MARKUS M.D.
Dermatology
1950 CURVE CREST BLVD W STE 100
STILLWATER, MN 55082
Washington County (651) 275-0500

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.

Does St. Croix Dermatology, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2120648) is associated with this NPI, valid through October 19, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does St. Croix Dermatology, PA accept?

Health plans from Medica list St. Croix Dermatology, 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 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.