Individual provider Active NPI

Michael Kremer

  • Dermatology Physician
  • Springfield, MO
National Provider Identifier
1255968327
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
2023050207 Issued in MO
Practice address
3850 S National Ave Ste 705
Springfield, MO 65807-5239
Phone
(417) 888-0858
Fax
(417) 889-0476
NPI assigned
Mar 26, 2020
Last updated
Aug 6, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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 2023050207 MO Primary

Addresses

Primary practice location

3850 S National Ave Ste 705
Springfield, MO 65807-5239

Mailing address

3850 S National Ave Ste 705
Springfield, MO 65807-5239
Phone (417) 888-0858

Other practice location 1

1240 E Independence St
Springfield, MO 65804-4386
Phone (417) 888-0858

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20240625001053 MO Practitioner - Dermatology 7810319688 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Tulane University School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians
Mike Swann, MD, LLCGroup PAC ID 0941346068, 10 clinicians

Practice addresses (Care Compare)

1223 Maple St
Farmington, MO 63640-7616
Phone (573) 760-0091

1240 E Independence St
Springfield, MO 65804-4201
Phone (417) 900-3407

3850 S National Ave
Suite 705
Springfield, MO 65807-5239
Phone (417) 888-0858

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.43 of 100Reported as group
Quality
91.51
Promoting interoperability
100
Improvement activities
40
Cost
79.93

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision40
Removal of skin lesions835
Removal or shaving of skin growth12
Skin biopsy261

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Dermatology, S.C. Dermatology CurrentSince Dec 30, 2025 Accepting new patients
Mike Swann, MD, LLC CurrentSince Jul 1, 2024 Accepting new patients
Forefront Dermatology, S.C. Dermatology CurrentSince Dec 30, 2025 Accepting new patients

Locations

1223 Maple St
Farmington, MO 63640
Phone (573) 760-0091

590 Birch Rd
Ste 2C
Hollister, MO 65672
Phone (417) 335-7337

331 Hospital Dr
Ste C
Lebanon, MO 65536
Phone (417) 334-7200

2200 E Cleveland St
Monett, MO 65708
Phone (417) 236-2600

1240 E Independence St
Springfield, MO 65804
Phone (417) 888-0858

3850 S National Ave
Ste 705
Springfield, MO 65807
Phone (417) 888-0858

Interoperability endpoints

  • Direct secure messaging: mkremer@swann.emadirect.md

Organizations & group practices 3

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": "1585180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1255968327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3850 S NATIONAL AVE STE 705",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075239",
            "telephone_number": "417-888-0858",
            "fax_number": "417-889-0476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 S NATIONAL AVE STE 705",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075239",
            "telephone_number": "417-888-0858",
            "fax_number": "417-889-0476"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1240 E Independence St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658044386",
            "country_code": "US",
            "telephone_number": "417-888-0858",
            "fax_number": "417-889-0476",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KREMER",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-26",
        "last_updated": "2024-08-06",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MO",
            "license": "2023050207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.