TWIN PORTS DERMATOLOGY INC
NPI 1316348725
Physician Assistant in Duluth, MN
About Twin Ports Dermatology Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TWIN PORTS DERMATOLOGY INC (NPI 1316348725) is a healthcare organization registered as a physician assistant in Duluth, Minnesota and active in the NPI registry since September 2014. The organization holds a CLIA Certificate of Compliance certificate valid through October 14, 2027 and lists Heather Smith, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Twin Ports Dermatology Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
9Medicare enrollment records show 9 clinicians reassign Medicare billing to Twin Ports Dermatology Inc, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 6 within 10 miles. They are listed nearest first.
Clinicians, nearest first (9)
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 Compliance 24D2091791
Twin Ports Dermatology · Duluth, 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 Twin Ports Dermatology Inc's NPI number?
The NPI number for Twin Ports Dermatology Inc is 1316348725. It was assigned to this organization in the NPPES registry on September 5, 2014.
Where is Twin Ports Dermatology Inc located?
Twin Ports Dermatology Inc is located at 1414 Woodland Ave, Duluth, MN 55803. The listed phone number is (218) 343-7452.
What is Twin Ports Dermatology Inc's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Twin Ports Dermatology Inc enrolled in Medicare?
Yes. Twin Ports Dermatology Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Twin Ports Dermatology Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 3 Medicare specialties reassign their Medicare billing to Twin Ports Dermatology Inc. 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 (6), Dermatology (2) and Micrographic Dermatologic Surgery (MDS) (1). Of these, 5 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Twin Ports Dermatology Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 24D2091791) is associated with this NPI, valid through October 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Twin Ports Dermatology Inc accept?
Health plans from Anthem Blue Cross and Blue Shield and Security Health Plan list Twin Ports Dermatology Inc 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 Twin Ports Dermatology Inc was last updated on September 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Twin Ports Dermatology Inc · NPI 1316348725
Physician Assistant organization in Duluth, Minnesota. Organization record, active in the CMS NPPES registry since September 5, 2014.
## Identity
- **NPI:** 1316348725 (Entity type: Organization)
- **Enumerated:** September 5, 2014
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **Organization subpart:** No
- **Authorized official:** Heather Smith, OWNER
## Practice location
- **Address:** 1414 WOODLAND AVE, Duluth, MN 55803-2624
- **Phone:** (218) 343-7452
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 9 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (6), Dermatology (2), Micrographic Dermatologic Surgery (MDS) (1); 5 practice at this address and 6 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 5, 2014
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1316348725) · Data from the CMS NPPES public registry.