REGENCY SKIN INSTITUTE PLLC
NPI 1932630563
Dermatology - MOHS-Micrographic Surgery in Surprise, AZ

Q: What is Regency Skin Institute PLLC's NPI number?

The NPI number for Regency Skin Institute PLLC is 1932630563. It was assigned to this organization in the NPPES registry on March 24, 2017.

Q: What is Regency Skin Institute PLLC's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Active since March 24, 2017

14725 W MOUNTAIN VIEW BLVD, SURPRISE, AZ 85374(623) 243-9077 Get Directions Write a Review

NPPES record last updated: May 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 19, 2017, Mar 24, 2017 (2 updates tracked since 2017).

On this page

About Regency Skin Institute Pllc NPPES

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

REGENCY SKIN INSTITUTE PLLC (NPI 1932630563) is a healthcare organization registered as a mohs-micrographic surgery in Surprise, Arizona and active in the NPI registry since March 2017. The organization maintains a secondary practice location in Phoenix and lists Jason Lee Mussman, Plastic Surgeon, as its authorized official.

NPPES Registry Identity

NPI1932630563

Entity TypeOrganization

Primary Taxonomy207ND0101X

Legal Business NameREGENCY SKIN INSTITUTE PLLC

Location Address14725 W MOUNTAIN VIEW BLVDSurprise, AZ 85374-2704

Mailing Address10240 W Indian School Rd, Suite 115Phoenix, AZ 85037-5904

Phone(623) 243-9077

Organization SubpartNo

Authorized OfficialJason Lee MussmanPlastic Surgeon · (989) 255-4794

Enumeration DateMarch 24, 2017

Last NPPES UpdateMay 2, 20252 updates tracked since enumeration

NPPES CertifiedMay 2, 2025

✔ NPI 1932630563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207ND0101X

License✔ Licensed in AZ · 49090

Definition

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

14725 W MOUNTAIN VIEW BLVD, Surprise, AZ 85374

Open in Google Maps ↗

Secondary Practice Location 1

Location 110240 W Indian School Rd, Suite 115Phoenix, AZ 85037-5904 · Phone (623) 243-9077

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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health.Insurance ›

Other Providers at the Same Location NPPES 7

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

REGENCY AMBULATORY SURGERY CENTER ONE, LLC

Clinic/Center (Ambulatory Surgical)