MICHELLE M BLAESER MD
NPI 1619954963
Dermatology in Minneapolis, MN

Q: What is Michelle Blaeser's NPI number?

The NPI number for Michelle Blaeser is 1619954963. It was assigned to this individual provider in the NPPES registry on December 28, 2005.

Q: What is Michelle Blaeser's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Q: When was this NPI record last updated?

The NPPES record for Michelle Blaeser was last updated on August 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.

Active since December 28, 2005PECOS EnrolledAccepts Medicare Assignment

715 S 8TH ST, MINNEAPOLIS, MN 55404(612) 873-6963 Get Directions Write a Review

NPPES record last updated: August 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Michelle M Blaeser Md NPPES

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

MICHELLE M BLAESER MD (NPI 1619954963) is an individual dermatology provider in Minneapolis, Minnesota, licensed in Minnesota (37596) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS, is affiliated with Hennepin County Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1619954963

Entity TypeIndividualFemale

Primary Taxonomy207N00000X

Provider Legal NameMICHELLE M BLAESERCredential: MD

Location Address715 S 8TH STMinneapolis, MN 55404-7530

Mailing Address701 Park AveMinneapolis, MN 55415-1623 · (612) 873-3000

Phone(612) 873-6963

Sole ProprietorNo

Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 1992

Enumeration DateDecember 28, 2005

Last NPPES UpdateAugust 25, 2025

NPPES CertifiedAugust 25, 2025

✔ NPI 1619954963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

License✔ Licensed in MN · 37596

Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Also ListedInternal MedicineTaxonomy 207R00000X · License 37596 (MN)

715 S 8TH ST, Minneapolis, MN 55404

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Secondary Practice Locations 2

Location 1800 Washington Ave N Ste 190Minneapolis, MN 55401-7572 · Phone (612) 873-6963

Location 25653 Duluth StGolden Valley, MN 55422-4054 · Phone (612) 873-6963

Other Identifiers 1

Medicaid274516000MN

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michelle M Blaeser Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID840247193

PECOS Enrollment IDI20050407001096

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hennepin County Medical Center

Acute Care Hospitals · Minneapolis, MN

2/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number240004

Location701 Park AvenueMinneapolis, MN 55415 · Hennepin County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55404 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

SARAH E JOHNSON RD LD

Dietitian, Registered