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DERMATOLOGY PROFESSIONALS PA
NPI 1306196548
Clinic/Center in Baxter, MN

Active since September 14, 2012CLIA Certified · 4 labs
15167 EDGEWOOD DR, SUITE 200, BAXTER, MN 56401(218) 454-7546 Get Directions Write a Review

NPPES record last updated: June 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dermatology Professionals Pa NPPES

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

DERMATOLOGY PROFESSIONALS PA (NPI 1306196548) is a healthcare organization registered as a clinic/center in Baxter, Minnesota and active in the NPI registry since September 2012. The organization holds 4 active CLIA laboratory certificates and lists Morgan Burgstaler, Administrator, as its authorized official.

NPPES Registry Identity

NPI1306196548
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameDERMATOLOGY PROFESSIONALS PA
Location Address15167 EDGEWOOD DR, SUITE 200Baxter, MN 56401-6946
Mailing Address13359 Isle Dr, Suite 3Baxter, MN 56425-2222
Phone(218) 454-7546
Organization SubpartYes
Authorized OfficialMorgan BurgstalerAdministrator · (218) 454-3065
Enumeration DateSeptember 14, 2012
Last NPPES UpdateJune 12, 2024
NPPES CertifiedJune 12, 2024
✔ NPI 1306196548 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 · 45453
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).
15167 EDGEWOOD DR, Baxter, MN 56401
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Accepted Insurance

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

CLIA Laboratory Certificates CMS CLIA 4

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 24D1096231

Dermatology Professionals, PA · Baxter, MN
Active · expires Jan 10, 2028
CLIA Number24D1096231
Laboratory TypePhysician Office
Certificate Effective DateJanuary 11, 2026
Certificate Expiration DateJanuary 10, 2028
Laboratory DirectorAngela E. Aakhus
Laboratory Phone(218) 454-7546
Laboratory LocationDermatology Professionals, PA13359 Isle Dr Suite 3, Baxter, MN 56425
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 for Provider-Performed Microscopy Procedures (PPMP) 24D2047643

Dermatology Professionals · Baxter, MN
Active · expires Sep 11, 2026
CLIA Number24D2047643
Laboratory TypePhysician Office
Certificate Effective DateSeptember 12, 2024
Certificate Expiration DateSeptember 11, 2026
Laboratory DirectorPaul B. Lundstrom
Laboratory Phone(218) 454-3065
Laboratory LocationDermatology Professionals15167 Edgewood Drive Suite 200, Baxter, MN 56425
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 24D2302735

Dermatology Professionals · Saint Cloud, MN
Active · expires May 31, 2028
CLIA Number24D2302735
Laboratory TypePhysician Office
Certificate Effective DateJune 1, 2026
Certificate Expiration DateMay 31, 2028
Laboratory DirectorDr. Paul Lundstrom
Laboratory Phone(218) 454-7546
Laboratory LocationDermatology Professionals1511 Northway Drive Suite 103, Saint Cloud, MN 56303
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 24D2274067

Dermatology Professionals · Grand Rapids, MN
Active · expires Dec 22, 2026
CLIA Number24D2274067
Laboratory TypePhysician Office
Certificate Effective DateDecember 23, 2024
Certificate Expiration DateDecember 22, 2026
Laboratory DirectorPaul Lundstrom
Laboratory Phone(218) 454-7546
Laboratory LocationDermatology Professionals1749 SE 2nd Ave, Grand Rapids, MN 55744
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES

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

DR. JENNA BERGIN UDE D.D.S.
Dentist (General Practice)
15167 EDGEWOOD DR
BRAINERD, MN 56401
Crow Wing County (218) 828-0565

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 Dermatology Professionals PA's NPI number?

The NPI number for Dermatology Professionals PA is 1306196548. It was assigned to this organization in the NPPES registry on September 14, 2012.

Where is Dermatology Professionals PA located?

Dermatology Professionals PA is located at 15167 Edgewood Dr Suite 200, Baxter, MN 56401. The listed phone number is (218) 454-7546.

What is Dermatology Professionals PA's specialty?

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

Does Dermatology Professionals PA hold CLIA laboratory certificates?

Yes. 4 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 Dermatology Professionals PA accept?

Health plans from Medica list Dermatology Professionals 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 Dermatology Professionals PA was last updated on June 12, 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.