DERMATOLOGY PROFESSIONALS PA
NPI 1720840788
Clinic/Center in Saint Cloud, MN
About Dermatology Professionals Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DERMATOLOGY PROFESSIONALS PA (NPI 1720840788) is a healthcare organization registered as a clinic/center in Saint Cloud, Minnesota and active in the NPI registry since January 2024. The organization lists Morgan Leigh Burgstaler, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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. 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.
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 1720840788. It was assigned to this organization in the NPPES registry on January 25, 2024.
Where is Dermatology Professionals PA located?
Dermatology Professionals PA is located at 1511 Northway Dr Ste 103, Saint Cloud, MN 56303. 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). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Dermatology Professionals PA accept?
Health plans from Aspirus Health Plan, HealthPartners and Sanford Health Plan 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 January 25, 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 1720840788
Clinic/Center organization in Saint Cloud, Minnesota. Organization record, active in the CMS NPPES registry since January 25, 2024.
## Identity
- **NPI:** 1720840788 (Entity type: Organization)
- **Enumerated:** January 25, 2024
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Organization subpart:** No
- **Authorized official:** Morgan Burgstaler, ADMINISTRATOR
## Practice location
- **Address:** 1511 NORTHWAY DR STE 103, Saint Cloud, MN 56303-1262
- **Phone:** (218) 454-7546 · **Fax:** (218) 454-0390
## 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) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 25, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1720840788) · Data from the CMS NPPES public registry.