DERMATOLOGY PROFESSIONALS PA
NPI 1306196548
Clinic/Center in Baxter, MN
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 3 active CLIA laboratory certificates and lists Morgan Burgstaler, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Dermatology Professionals Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
11Medicare enrollment records show 11 clinicians reassign Medicare billing to Dermatology Professionals PA, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (11)
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 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, MNCertificate for Provider-Performed Microscopy Procedures (PPMP) 24D2302735
Dermatology Professionals · Saint Cloud, MNCertificate for Provider-Performed Microscopy Procedures (PPMP) 24D2274067
Dermatology Professionals · Grand Rapids, MNCertificate for Provider-Performed Microscopy Procedures (PPMP) 24D2047643
Dermatology Professionals · Baxter, MNFrequently 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.
Is Dermatology Professionals PA enrolled in Medicare?
Yes. Dermatology Professionals PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Dermatology Professionals PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 2 Medicare specialties reassign their Medicare billing to Dermatology Professionals 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. The largest specialties are Nurse Practitioner (7) and Dermatology (4). Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Dermatology Professionals PA hold CLIA laboratory certificates?
Yes. 3 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 Aspirus Health Plan 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.
# Dermatology Professionals Pa · NPI 1306196548
Clinic/Center organization in Baxter, Minnesota. Organization record, active in the CMS NPPES registry since September 14, 2012.
## Identity
- **NPI:** 1306196548 (Entity type: Organization)
- **Enumerated:** September 14, 2012
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Organization subpart:** Yes (part of Dermatology Professionals Pa)
- **Authorized official:** Morgan Burgstaler, ADMINISTRATOR
## Practice location
- **Address:** 15167 EDGEWOOD DR, SUITE 200, Baxter, MN 56401-6946
- **Phone:** (218) 454-7546
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 11 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (7), Dermatology (4); 4 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 12, 2024
- **CLIA laboratory certificates:** 4 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1306196548) · Data from the CMS NPPES public registry.