Sherri A Long, MD

Individual provider Active NPI Dermatology Physician · North Oaks, MN

NPI 1013980671 · NPPES record last updated Sep 11, 2014

Key facts

NPI
1013980671
Entity type
Individual (NPI type 1)
Primary specialty
Dermatology Physician 207N00000X
License
31866 (MN)
Practice address
400 Village Center Dr
Suite 200
North Oaks, MN 55127-7848
Phone
(651) 789-9800
Fax
(651) 789-9810
NPI assigned
Feb 13, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Dermatology
Education
University of Iowa, RJ & L Carver College of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Metro Dermatology PLLC (4 clinicians)

Practice addresses (Care Compare)

400 Village Ctr Dr
Suite 200
North Oaks, MN 55127-7093
Phone 6517899800809

Hospital & facility affiliations

  • M Health Fairview University of MN Medical Center Hospital · Minneapolis, MN · CCN 240080

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100 (group)
Quality
100
Improvement activities
40
Cost
91.5

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions537
Removal or shaving of skin growth14
Skin biopsy379

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20100616000465 MN Practitioner - Dermatology 3678603743 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
31866MNMDDermatology Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 31866 MN Yes

Addresses

Primary practice location

400 Village Center Dr
Suite 200
North Oaks, MN 55127-7848

Mailing address

400 Village Center Dr
Suite 200
North Oaks, MN 55127-7848
Phone (651) 789-9800

Other identifiers

IdentifierTypeStateIssuer
974790700MedicaidMN

Other providers in North Oaks, MN

All providers in North Oaks, MN · Dermatology Physician in Minnesota

Sources for this page

Verify at the official NPI Registry.