MIDWEST CLINIC OF DERMATOLOGY LASER AND COSMETIC SURGERY PA
NPI 1811092398
Dermatology in Saint Cloud, MN
About Midwest Clinic Of Dermatology Laser And Cosmetic Surgery Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MIDWEST CLINIC OF DERMATOLOGY LASER AND COSMETIC SURGERY PA (NPI 1811092398) is a healthcare organization registered as a dermatology in Saint Cloud, Minnesota and active in the NPI registry since September 2006. The organization holds a CLIA Certificate of Compliance certificate valid through September 9, 2028 and lists Daniel Kevin Elieff, President/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 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)
Midwest Clinic Of Dermatology Laser And Cosmetic Surgery Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Midwest Clinic Of Dermatology Laser And Cosmetic Surgery PA, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
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 24D0908507
Midwest Clinic Of Dermatology · Saint Cloud, 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 Midwest Clinic Of Dermatology Laser And Cosmetic Surgery PA's NPI number?
The NPI number for Midwest Clinic Of Dermatology Laser And Cosmetic Surgery PA is 1811092398. It was assigned to this organization in the NPPES registry on September 13, 2006.
Where is Midwest Clinic Of Dermatology Laser And Cosmetic Surgery PA located?
Midwest Clinic Of Dermatology Laser And Cosmetic Surgery PA is located at 1510 24th Ave N, Saint Cloud, MN 56303. The listed phone number is (320) 259-0208.
What is Midwest Clinic Of Dermatology Laser And Cosmetic Surgery PA's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Midwest Clinic Of Dermatology Laser And Cosmetic Surgery PA enrolled in Medicare?
Yes. Midwest Clinic Of Dermatology Laser And Cosmetic Surgery PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Midwest Clinic Of Dermatology Laser And Cosmetic Surgery PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Midwest Clinic Of Dermatology Laser And Cosmetic Surgery PA, in Dermatology, Family Practice and Nurse Practitioner. 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Midwest Clinic Of Dermatology Laser And Cosmetic Surgery PA hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 24D0908507) is associated with this NPI, valid through September 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Midwest Clinic Of Dermatology Laser And Cosmetic Surgery PA accept?
Health plans from HealthPartners list Midwest Clinic Of Dermatology Laser And Cosmetic Surgery 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 Midwest Clinic Of Dermatology Laser And Cosmetic Surgery PA was last updated on October 2, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Midwest Clinic Of Dermatology Laser And Cosmetic Surgery Pa · NPI 1811092398
Dermatology organization in Saint Cloud, Minnesota. Organization record, active in the CMS NPPES registry since September 13, 2006.
## Identity
- **NPI:** 1811092398 (Entity type: Organization)
- **Enumerated:** September 13, 2006
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Organization subpart:** No
- **Authorized official:** Daniel Elieff, PRESIDENT/OWNER
## Practice location
- **Address:** 1510 24TH AVE N, Saint Cloud, MN 56303-1304
- **Phone:** (320) 259-0208 · **Fax:** (320) 259-0715
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dermatology (1), Family Practice (1), Nurse Practitioner (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 2, 2014
- **Other identifiers:** Medicare ID-Type Unspecified C08249 (MN)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1811092398) · Data from the CMS NPPES public registry.