DERMATOLOGY PROFESSIONALS, PA
NPI 1356714182
Clinic/Center in Bemidji, MN
About Dermatology Professionals, Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DERMATOLOGY PROFESSIONALS, PA (NPI 1356714182) is a healthcare organization registered as a clinic/center in Bemidji, Minnesota and active in the NPI registry since November 2015. The organization holds a CLIA Certificate of Compliance certificate valid through March 8, 2028 and lists Morgan Burgstaler, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 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)
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, 1 practice at this address and 2 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
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 24D2107981
Dermatology Professionals, PA · Bemidji, 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 1356714182. It was assigned to this organization in the NPPES registry on November 2, 2015.
Where is Dermatology Professionals, PA located?
Dermatology Professionals, PA is located at 2300 24th St NW Suite 110, Bemidji, MN 56601. 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, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Dermatology Professionals, PA hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 24D2107981) is associated with this NPI, valid through March 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Dermatology Professionals, PA accept?
Health plans from Aspirus Health Plan and HealthPartners 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 1356714182
Clinic/Center organization in Bemidji, Minnesota. Organization record, active in the CMS NPPES registry since November 2, 2015.
## Identity
- **NPI:** 1356714182 (Entity type: Organization)
- **Enumerated:** November 2, 2015
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Organization subpart:** No
- **Authorized official:** Morgan Burgstaler, ADMINISTRATOR
## Practice location
- **Address:** 2300 24TH ST NW, SUITE 110, Bemidji, MN 56601-6379
- **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); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 12, 2024
- **Other identifiers:** Medicaid 355427000 (MN)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1356714182) · Data from the CMS NPPES public registry.