MODERN ESTHETICS & DERMATOLOGY, PLLC
NPI 1952044968
Clinic/Center - Medical Specialty in Bottineau, ND

Q: What is Modern Esthetics & Dermatology, PLLC's NPI number?

The NPI number for Modern Esthetics & Dermatology, PLLC is 1952044968. It was assigned to this organization in the NPPES registry on April 18, 2022.

Q: What is Modern Esthetics & Dermatology, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Active since April 18, 2022

514 THOMPSON ST STE 1, BOTTINEAU, ND 58318(701) 201-0636 Get Directions Write a Review

NPPES record last updated: January 17, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 25, 2022, Apr 18, 2022 (2 updates tracked since 2022).

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About Modern Esthetics & Dermatology, Pllc NPPES

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

MODERN ESTHETICS & DERMATOLOGY, PLLC (NPI 1952044968) is a healthcare organization registered as a medical specialty in Bottineau, North Dakota and active in the NPI registry since April 2022. The organization lists Molly Beyer, Nurse Practitioner, Owner, as its authorized official.

NPPES Registry Identity

NPI1952044968

Entity TypeOrganization

Primary Taxonomy261QM2500X

Legal Business NameMODERN ESTHETICS & DERMATOLOGY, PLLC

Location Address514 THOMPSON ST STE 1Bottineau, ND 58318-1238

Mailing Address322 5th St EBottineau, ND 58318-1402 · (701) 201-0636

Phone(701) 201-0636

Organization SubpartNo

Authorized OfficialMolly BeyerNurse Practitioner, Owner · (701) 201-0636

Enumeration DateApril 18, 2022

Last NPPES UpdateJanuary 17, 20252 updates tracked since enumeration

NPPES CertifiedJanuary 17, 2025

✔ NPI 1952044968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM2500X

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

514 THOMPSON ST STE 1, Bottineau, ND 58318

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota.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)

Modern Esthetics & Dermatology, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Modern Esthetics & Dermatology, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Molly Beyer, FNP-C

Nurse Practitioner

NPI 1417591140

514 THOMPSON ST
Bottineau, ND 58318

(701) 201-0636

✔ PECOS✔ Accepts MedicareSame address

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 Modern Esthetics & Dermatology, PLLC's NPI number?

The NPI number for Modern Esthetics & Dermatology, PLLC is 1952044968. It was assigned to this organization in the NPPES registry on April 18, 2022.

Where is Modern Esthetics & Dermatology, PLLC located?

Modern Esthetics & Dermatology, PLLC is located at 514 Thompson St Ste 1, Bottineau, ND 58318. The listed phone number is (701) 201-0636.

What is Modern Esthetics & Dermatology, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Is Modern Esthetics & Dermatology, PLLC enrolled in Medicare?

Yes. Modern Esthetics & Dermatology, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Modern Esthetics & Dermatology, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Modern Esthetics & Dermatology, 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Modern Esthetics & Dermatology, PLLC accept?

Health plans from Blue Cross Blue Shield of North Dakota list Modern Esthetics & Dermatology, 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 Modern Esthetics & Dermatology, PLLC was last updated on January 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.