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SKIN WIN DERMATOLOGY PC
NPI 1992343198
Dermatology in Williston, ND

Active since December 18, 2019CLIA 35D2213935 · Certificate of Compliance
1213 15TH AVE W STE 102, WILLISTON, ND 58801(917) 545-8637 Get Directions Write a Review

NPPES record last updated: July 14, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 14, 2020, Dec 18, 2019 (2 updates tracked since 2019).

About Skin Win Dermatology Pc NPPES

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

SKIN WIN DERMATOLOGY PC (NPI 1992343198) is a healthcare organization registered as a dermatology in Williston, North Dakota and active in the NPI registry since December 2019. The organization holds a CLIA Certificate of Compliance certificate valid through March 12, 2028, maintains a secondary practice location in Denver, and lists Daniel Hoffman, President, as its authorized official.

NPPES Registry Identity

NPI1992343198
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameSKIN WIN DERMATOLOGY PC
Location Address1213 15TH AVE W STE 102Williston, ND 58801-3800
Mailing Address66 Niagara StDenver, CO 80230-6711
Phone(917) 545-8637
Organization SubpartNo
Authorized OfficialDaniel HoffmanPresident · (917) 545-8637
Enumeration DateDecember 18, 2019
Last NPPES UpdateJuly 14, 20202 updates tracked since enumeration
NPPES CertifiedJuly 14, 2020
✔ NPI 1992343198 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.
1213 15TH AVE W STE 102, Williston, ND 58801
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Secondary Practice Location 1

Location 166 Niagara StDenver, CO 80230-6711 · Phone (917) 545-8637

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas, Inc., Blue Cross Blue Shield of North Dakota and more.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)

Skin Win Dermatology Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Skin Win Dermatology PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (8)

Daniel Hoffman, M.D.
Dermatology
NPI 1205006897
1213 15TH AVE W STE 102
Williston, ND 58801
(701) 234-8860
✔ PECOS✔ Accepts MedicareSame address
Shanda Harstad, APRN
Nurse Practitioner
NPI 1376276766
1301 15TH AVE W
Williston, ND 58801
(701) 572-7651
✔ PECOS✔ Accepts MedicareSame address
Andrea Sebelius, AGNP
Nurse Practitioner
NPI 1770089120
2305 37TH AVE SW
Minot, ND 58701
(701) 857-5000
✔ PECOS✔ Accepts Medicare107 mi
Emily Stevens, FNP-BC
Nurse Practitioner
NPI 1538711684
2305 37TH AVE SW
Minot, ND 58701
(701) 857-5000
✔ PECOS✔ Accepts Medicare107 mi
Shanna Geier, DNP
Nurse Practitioner
NPI 1275139685
333 PINE RIDGE BLVD
Wausau, WI 54401
(715) 847-2121
✔ PECOS✔ Accepts Medicare700 mi
Jennifer Ebersole, ARNP
Nurse Practitioner
NPI 1245283951
305 W 15TH ST STE 103
Liberal, KS 67901
(620) 236-3125
✔ PECOS✔ Accepts Medicare779 mi
Alde Gavino, M.D.
Dermatology
NPI 1255534863
9073 W STATE HIGHWAY 29 STE 108
Liberty Hill, TX 78642
(737) 377-3143
✔ PECOS✔ Accepts Medicare1,247 mi
Lindsey Koach, DNP
Nurse Practitioner
NPI 1255007357
1830 LAKESIDE DR
Franklin, NC 28734
(828) 349-2085
✔ PECOS✔ Accepts Medicare1,371 mi

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 35D2213935

Skin Win Dermatology · Williston, ND
Active · expires Mar 12, 2028
CLIA Number35D2213935
Laboratory TypeIndependent
Certificate Effective DateMarch 13, 2026
Certificate Expiration DateMarch 12, 2028
Laboratory DirectorDaniel Hoffman
Laboratory Phone(701) 800-5110
Laboratory LocationSkin Win Dermatology1213 15th Ave W Suite 102, Williston, ND 58801
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Skin Win Dermatology PC's NPI number?

The NPI number for Skin Win Dermatology PC is 1992343198. It was assigned to this organization in the NPPES registry on December 18, 2019.

Where is Skin Win Dermatology PC located?

Skin Win Dermatology PC is located at 1213 15th Ave W Ste 102, Williston, ND 58801. The listed phone number is (917) 545-8637.

What is Skin Win Dermatology PC's specialty?

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

Is Skin Win Dermatology PC enrolled in Medicare?

Yes. Skin Win Dermatology PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Skin Win Dermatology PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 2 Medicare specialties reassign their Medicare billing to Skin Win Dermatology PC. 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. The largest specialties are Nurse Practitioner (6) and Dermatology (2). Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Skin Win Dermatology PC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 35D2213935) is associated with this NPI, valid through March 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Skin Win Dermatology PC accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of North Dakota, Blue Cross and Blue Shield of Kansas, Inc. and Sanford Health Plan list Skin Win Dermatology PC 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 Skin Win Dermatology PC was last updated on July 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.