1. Home
  2. Directory
  3. Idaho
  4. Falls
  5. Dermatology
  6. NPI Profile

S. ALBERTSON DERMATOLOGY AND SKIN CANCER CENTER LLC
NPI 1316521602
Dermatology - MOHS-Micrographic Surgery in Idaho Falls, ID

Active since May 12, 2021
2375 E SUNNYSIDE RD STE J, IDAHO FALLS, ID 83404(208) 589-3918 Get Directions Write a Review

NPPES record last updated: August 9, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 9, 2021, May 12, 2021 (2 updates tracked since 2021).

About S. Albertson Dermatology And Skin Cancer Center Llc NPPES

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

S. ALBERTSON DERMATOLOGY AND SKIN CANCER CENTER LLC (NPI 1316521602) is a healthcare organization registered as a mohs-micrographic surgery in Idaho Falls, Idaho and active in the NPI registry since May 2021. The organization lists Stetson Albertson, Manager, as its authorized official.

NPPES Registry Identity

NPI1316521602
Entity TypeOrganization
Primary Taxonomy207ND0101X
Legal Business NameS. ALBERTSON DERMATOLOGY AND SKIN CANCER CENTER LLC
Location Address2375 E SUNNYSIDE RD STE JIdaho Falls, ID 83404-8281
Mailing Address2325 E 2350 NHamer, ID 83425-4900
Phone(208) 589-3918
Organization SubpartNo
Authorized OfficialStetson AlbertsonManager · (208) 589-3918
Enumeration DateMay 12, 2021
Last NPPES UpdateAugust 9, 20212 updates tracked since enumeration
NPPES CertifiedAugust 9, 2021
✔ NPI 1316521602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
Definition
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
2375 E SUNNYSIDE RD STE J, Idaho Falls, ID 83404
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.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)

S. Albertson Dermatology And Skin Cancer Center Llc 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 S. Albertson Dermatology And Skin Cancer Center LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Stetson Albertson, DO
Dermatology
NPI 1427579929
13450 E 12 MILE RD
Warren, MI 48088
(586) 759-5525
✔ PECOS✔ Accepts Medicare1,464 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 S. Albertson Dermatology And Skin Cancer Center LLC's NPI number?

The NPI number for S. Albertson Dermatology And Skin Cancer Center LLC is 1316521602. It was assigned to this organization in the NPPES registry on May 12, 2021.

Where is S. Albertson Dermatology And Skin Cancer Center LLC located?

S. Albertson Dermatology And Skin Cancer Center LLC is located at 2375 E Sunnyside Rd Ste J, Idaho Falls, ID 83404. The listed phone number is (208) 589-3918.

What is S. Albertson Dermatology And Skin Cancer Center LLC's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Is S. Albertson Dermatology And Skin Cancer Center LLC enrolled in Medicare?

Yes. S. Albertson Dermatology And Skin Cancer Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through S. Albertson Dermatology And Skin Cancer Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to S. Albertson Dermatology And Skin Cancer Center LLC. 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.

What insurance does S. Albertson Dermatology And Skin Cancer Center LLC accept?

Health plans from Molina Healthcare list S. Albertson Dermatology And Skin Cancer Center LLC 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 S. Albertson Dermatology And Skin Cancer Center LLC was last updated on August 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.