NORTHWEST IOWA DERMATOLOGY LLC
NPI 1962217778
Dermatology in Algona, IA

Active since February 10, 2025
114 N DODGE ST, ALGONA, IA 50511(515) 622-7060(515) 293-4481 Get Directions Write a Review

NPPES record last updated: April 23, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 24, 2025, Feb 18, 2025, Feb 10, 2025 (3 updates tracked since 2025).

About Northwest Iowa Dermatology Llc NPPES

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

NORTHWEST IOWA DERMATOLOGY LLC (NPI 1962217778) is a healthcare organization registered as a dermatology in Algona, Iowa and active in the NPI registry since February 2025. The organization maintains a secondary practice location in Spencer and lists Caitlin Mcconnell, Arnp, Fnp-c, as its authorized official.

NPPES Registry Identity

NPI1962217778
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameNORTHWEST IOWA DERMATOLOGY LLC
Location Address114 N DODGE STAlgona, IA 50511-2636
Mailing AddressPo Box 751Okoboji, IA 51355-0751 · (515) 416-8776 · Fax (515) 513-0728
Fax(515) 293-4481
Organization SubpartNo
Authorized OfficialCaitlin McconnellArnp, Fnp-c · (712) 298-0748
Enumeration DateFebruary 10, 2025
Last NPPES UpdateApril 23, 20253 updates tracked since enumeration
NPPES CertifiedApril 23, 2025
✔ NPI 1962217778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
114 N DODGE ST, Algona, IA 50511

Secondary Practice Location 1

Location 11200 1st Ave E Ste 1Spencer, IA 51301-4330 · Phone (712) 264-6198

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Northwest Iowa Dermatology Llc 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 Northwest Iowa Dermatology LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1639812597
114 N DODGE ST
Algona, IA 50511
(515) 622-7060
✔ 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 Northwest Iowa Dermatology LLC's NPI number?

The NPI number for Northwest Iowa Dermatology LLC is 1962217778. It was assigned to this organization in the NPPES registry on February 10, 2025.

Where is Northwest Iowa Dermatology LLC located?

Northwest Iowa Dermatology LLC is located at 114 N Dodge St, Algona, IA 50511. The listed phone number is (515) 622-7060.

What is Northwest Iowa Dermatology LLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Northwest Iowa Dermatology LLC enrolled in Medicare?

Yes. Northwest Iowa Dermatology LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Northwest Iowa Dermatology LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Northwest Iowa Dermatology LLC. 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.

When was this NPI record last updated?

The NPPES record for Northwest Iowa Dermatology LLC was last updated on April 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.