Individual provider Active NPI

Sherri A Long, MD

  • Dermatology Physician
  • North Oaks, MN
National Provider Identifier
1013980671
Registry record updated Sep 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
31866 Issued in 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
Last updated
Sep 11, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

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

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

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

Care Compare profile

Medicare Care Compare
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 PLLCGroup PAC ID 4688815343, 4 clinicians

Practice addresses (Care Compare)

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

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100Reported as 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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410393600000",
    "number": "1013980671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 VILLAGE CENTER DR",
            "address_2": "SUITE 200",
            "city": "NORTH OAKS",
            "state": "MN",
            "postal_code": "551277848",
            "telephone_number": "651-789-9800",
            "fax_number": "651-789-9810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 VILLAGE CENTER DR",
            "address_2": "SUITE 200",
            "city": "NORTH OAKS",
            "state": "MN",
            "postal_code": "551277848",
            "telephone_number": "651-789-9800",
            "fax_number": "651-789-9810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "SHERRI",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-13",
        "last_updated": "2014-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MN",
            "license": "31866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Oaks, MN

Sources for this page

Verify at the official NPI Registry.