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DERMATOLOGY PROFESSIONALS, PA
NPI 1356714182
Clinic/Center in Bemidji, MN

Active since November 02, 2015CLIA 24D2107981 · Certificate of Compliance
2300 24TH ST NW, SUITE 110, BEMIDJI, MN 56601(218) 454-7546 Get Directions Write a Review

NPPES record last updated: June 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1356714182
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameDERMATOLOGY PROFESSIONALS, PA
Location Address2300 24TH ST NW, SUITE 110Bemidji, MN 56601-6379
Mailing Address13359 Isle Dr, Suite 3Baxter, MN 56425-2222 · (218) 454-7546
Phone(218) 454-7546
Organization SubpartNo
Authorized OfficialMorgan BurgstalerAdministrator · (218) 454-3065
Enumeration DateNovember 2, 2015
Last NPPES UpdateJune 12, 2024
NPPES CertifiedJune 12, 2024
✔ NPI 1356714182 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 · 1699
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).
2300 24TH ST NW, Bemidji, MN 56601
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Other Identifiers 1

Medicaid355427000MN

Accepted Insurance

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

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, MN
Active · expires Mar 8, 2028
CLIA Number24D2107981
Laboratory TypePhysician Office
Certificate Effective DateMarch 9, 2026
Certificate Expiration DateMarch 8, 2028
Laboratory DirectorAngela E. Aakhus
Laboratory Phone(218) 444-3998
Laboratory LocationDermatology Professionals, PA2300 24th Street NW, Suite 110, Bemidji, MN 56601
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES

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

HEATHER M STONE MPT
Physical Therapist
2300 24TH ST NW, SUITE 101
BEMIDJI, MN 56601
Beltrami County (218) 444-2624

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 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.

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 HealthPartners and 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.