Advanced Dermatology Care Medical Cosmetic and Surgery PA
A Medicare group practice based in Forest Lake, MN: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 4385633767), with 16 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 4385633767
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- MN
- Enrollments
- 1
- Group size
- 7 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 3
Enrollment records 1
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20040511000150 | MN | Part B Supplier - Clinic/Group Practice | 1073614558 |
NPIs in this group 3
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Advanced Dermatology Care Medical Cosmetic and Surgery PA
dba Advanced Dermatology Care
- Dermatology Physician
- White Bear Lake, MN
- NPI 1073614558
-
Advanced Dermatology Care Medical Cosmetic and Surgery PA
dba Advanced Dermatology Care
- Dermatology Physician
- Stillwater, MN
- NPI 1144486978
-
Advanced Dermatology Care Medical Cosmetic and Surgery PA
dba Advanced Dermatology Care
- Dermatology Physician
- Forest Lake, MN
- NPI 1912158031
Practice locations
- White Bear Lake, MN1
- Stillwater, MN1
- Forest Lake, MN1
Merit-based Incentive Payment System (MIPS)
Medicare Care Compare- Final score
- 74.85 of 100
- Quality
- 70.56
- Promoting interoperability
- 81
- Improvement activities
- 40
- Cost
- 61.43
Clinicians 16
Clinicians who reassign their Medicare benefits to this group (16) or whom Care Compare lists as members (7).
-
Eliza Anderson Abraham, PA-C
- Medical Physician Assistant
- White Bear Lake, MN
- NPI 1699437145
-
Emily Burkman, PA-C
- Medical Physician Assistant
- Kailua Kona, HI
- NPI 1447756465
-
Madeline Grace Carlson
- Physician Assistant
- Blaine, MN
- NPI 1629700968
-
Chelsea Victoria Domeier, PA-C
- Physician Assistant
- Forest Lake, MN
- NPI 1386195659
-
Brooke Leigh Elvehjem, PA-C
- Physician Assistant
- White Bear Lake, MN
- NPI 1174281034
-
Alaysia Freetly
- Physician Assistant
- White Bear Lake, MN
- NPI 1609636182
-
Emmah Kaye Griswold, PA-C
- Physician Assistant
- White Bear Lake, MN
- NPI 1013884691
-
Heather Kill, P.A.
- Physician Assistant
- Savage, MN
- NPI 1982656955
-
Molly Elizabeth Kozlowski, PA-C
- Physician Assistant
- Chicago, IL
- NPI 1942535109
-
Shelly Lynn Larson, PA-C
- Physician Assistant
- Saint Paul, MN
- NPI 1982690145
-
Allison Joy Nelson, PA-C
- Physician Assistant
- White Bear Lake, MN
- NPI 1497399901
-
Olaf Jonathan Rustad, MD
- Dermatology Physician
- White Bear Lake, MN
- NPI 1174586440
-
Ruth A Rustad, MD
- Dermatology Physician
- White Bear Lake, MN
- NPI 1689631038
-
Vanessa Seiberlich
- Physician Assistant
- White Bear Lake, MN
- NPI 1275265514
-
Katharine June Walker, PA-C
- Physician Assistant
- Saint Paul, MN
- NPI 1497855894
-
Kendyl Marie Zeidler, APRN, A-GNP-C
- Adult Health Nurse Practitioner
- Waconia, MN
- NPI 1841927043
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.