NPIMap

Individual provider Active NPI

Christopher Robert Rouse, M.D.

  • Dermatology Physician
  • Fargo, ND
National Provider Identifier
1275734022
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
2008007454 Issued in MO
Practice address
4656 40TH Ave S Ste 130
Fargo, ND 58104-4397
Phone
(701) 234-8860
Fax
(701) 234-8924
NPI assigned
May 30, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 2008007454 MO Primary
Dermatology Physician 207N00000X 23067 ND

Addresses

Primary practice location

4656 40TH Ave S Ste 130
Fargo, ND 58104-4397

Mailing address

PO Box 5074
Sioux Falls, SD 57117-5074
Phone (816) 892-5323

Other identifiers 2

IdentifierTypeStateIssuer
39910018OtherMOBCBS
P00622825OtherMORAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, ND2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080721000060 MO Practitioner - Dermatology 8820161128 Reassigns benefits to 1 organization
I20251008003167 ND Practitioner - Dermatology 8820161128 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sanford Medical Center FargoGroup PAC ID 8426967803, 1,210 clinicians

Practice addresses (Care Compare)

1220 Sheyenne St
West Fargo, ND 58078-2637
Phone (701) 234-4445

4656 40TH Ave S
Fargo, ND 58104-4397

6352 N Cosby Ave
Kansas City, MO 64151-2344
Phone (816) 892-5322

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
71.52 of 100Reported as individual
Quality
43.04
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision50
Removal of skin lesions551
Removal or shaving of skin growth1-10
Skin biopsy176

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Medical Center Fargo CurrentSince Oct 13, 2025 Accepting new patients
Northland Dermatology LLC CurrentSince Sep 19, 2014 Accepting new patients
Sanford Medical Center Fargo Current Accepting new patients
Sanford Medical Center Fargo CurrentSince Oct 13, 2025 Accepting new patients
Midwest Medical Specialists PA Dermatology PastSince Jul 1, 1995 Accepting new patients
Midwest Medical Specialists PA Dermatology Past Accepting new patients
Sanford Medical Center Fargo Past Accepting new patients
Dermatology and Skin Cancer Specialists, LLC Dermatology Past Accepting new patients
Ascentist Physicians Group, LLC PastSince Feb 4, 2026 Accepting new patients

Locations

6352 N Cosby Ave
Kansas City, MO 64151
Phone (816) 754-9564

4656 40th Ave S
Ste 130
Fargo, ND 58104
Phone (701) 234-8860

1220 Sheyenne St
West Fargo, ND 58078
Phone (701) 234-4445

Interoperability endpoints

  • Direct secure messaging: crouse@directaddress.net

Organizations & group practices 9

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 5

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": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1275734022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5074",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175074",
            "telephone_number": "816-892-5323",
            "fax_number": "816-584-0557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4656 40TH AVE S STE 130",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581044397",
            "telephone_number": "701-234-8860",
            "fax_number": "701-234-8924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUSE",
        "first_name": "CHRISTOPHER",
        "middle_name": "ROBERT",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-30",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MO",
            "license": "2008007454",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "ND",
            "license": "23067",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "39910018",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00622825",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

Verify at the official NPI Registry.