ALTAIRE CLINIC PLLC
NPI 1730710229
Dermatology - Procedural Dermatology in Fargo, ND

Active since February 03, 2020
5257 27TH ST S STE 201, FARGO, ND 58104(701) 356-5503 Get Directions Write a Review

NPPES record last updated: December 7, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 7, 2021, Mar 3, 2020, Feb 3, 2020 (3 updates tracked since 2020).

About Altaire Clinic Pllc NPPES

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

ALTAIRE CLINIC PLLC (NPI 1730710229), doing business as Laser Renewal Pllc, is a healthcare organization registered as a procedural dermatology in Fargo, North Dakota and active in the NPI registry since February 2020. The organization lists Tamra A Schue, Owner, as its authorized official.

NPPES Registry Identity

NPI1730710229
Entity TypeOrganization
Primary Taxonomy207NS0135X
Legal Business NameALTAIRE CLINIC PLLC
Location Address5257 27TH ST S STE 201Fargo, ND 58104-7782
Mailing Address5257 27th St S Ste 201Fargo, ND 58104-7782 · (701) 356-5503
Organization SubpartNo
Authorized OfficialTamra A SchueOwner · (701) 388-6306
Enumeration DateFebruary 3, 2020
Last NPPES UpdateDecember 7, 20213 updates tracked since enumeration
NPPES CertifiedDecember 7, 2021
✔ NPI 1730710229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · Procedural DermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207NS0135X
Definition
Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).
5257 27TH ST S STE 201, Fargo, ND 58104

Other Names 1

Former Legal Business NameLaser Renewal Pllc

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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)

Altaire Clinic Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Altaire Clinic PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1104065499
5257 27TH ST S STE 201
Fargo, ND 58104
(701) 356-5503
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1558799189
5180 PROSPERITY WAY S STE 106
Fargo, ND 58104
(701) 707-9225
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1962424523
2400 32ND AVE S
Fargo, ND 58103
(701) 234-8860
✔ PECOS✔ Accepts Medicare2.0 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 Altaire Clinic PLLC's NPI number?

The NPI number for Altaire Clinic PLLC is 1730710229. It was assigned to this organization in the NPPES registry on February 3, 2020. The provider was formerly known as Laser Renewal PLLC.

Where is Altaire Clinic PLLC located?

Altaire Clinic PLLC is located at 5257 27th St S Ste 201, Fargo, ND 58104. The listed phone number is (701) 356-5503.

What is Altaire Clinic PLLC's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Procedural Dermatology, with taxonomy code 207NS0135X.

Is Altaire Clinic PLLC enrolled in Medicare?

Yes. Altaire Clinic PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Altaire Clinic PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Altaire Clinic PLLC. 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. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Altaire Clinic PLLC accept?

Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Altaire Clinic PLLC 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 Altaire Clinic PLLC was last updated on December 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.