Organization Active NPI

Central Minnesota Dermatology, PA

  • Clinic/Center
  • Brainerd, MN
National Provider Identifier
1285220079
Registry record updated Jan 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
CENTRAL MINNESOTA DERMATOLOGY, PA
Practice address
1903 S 6TH St Ste 3
Brainerd, MN 56401-4599
Phone
(218) 454-3376
NPI assigned
Dec 15, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2026

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

Authorized official

Name
Kristina Marie Britton, MDNPI 1982831889
Title
President
Phone
(218) 454-3376

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1903 S 6TH St Ste 3
Brainerd, MN 56401-4599

Mailing address

1903 S 6TH St Ste 3
Brainerd, MN 56401-4599
Phone (218) 454-3376

Other practice location 1

415 Barclay Ave
Pine River, MN 56474-1603
Phone (218) 454-3376

Other practice location 2

808 3rd St SE
Little Falls, MN 56345-3557
Phone (218) 454-3376

Other practice location 3

415 Jefferson St N
Wadena, MN 56482-1264
Phone (218) 454-3376

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210210000821 MN Part B Supplier - Clinic/Group Practice 4486069176 Receives reassigned benefits from 3 practitioners
Practice locations: Brainerd, MN; Pine River, MN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D2214455Central Minnesota Dermatology PA1903 S 6TH St, Ste 3, Brainerd, MN 56401Provider-performed microscopyFeb 22, 2027
24D2222681Central Minnesota Dermatology PA415 Barclay Ave, Pine River, MN 56474Provider-performed microscopyApr 29, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1607990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768780800000",
    "number": "1285220079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1903 S 6TH ST STE 3",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "564014599",
            "telephone_number": "218-454-3376",
            "fax_number": "218-454-4263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 S 6TH ST STE 3",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "564014599",
            "telephone_number": "218-454-3376"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "415 Barclay Ave",
            "address_purpose": "LOCATION",
            "city": "Pine River",
            "state": "MN",
            "postal_code": "564741603",
            "country_code": "US",
            "telephone_number": "218-454-3376",
            "fax_number": "218-454-4263",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "808 3rd St SE",
            "address_purpose": "LOCATION",
            "city": "Little Falls",
            "state": "MN",
            "postal_code": "563453557",
            "country_code": "US",
            "telephone_number": "218-454-3376",
            "fax_number": "218-454-4263",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "415 Jefferson St N",
            "address_purpose": "LOCATION",
            "city": "Wadena",
            "state": "MN",
            "postal_code": "564821264",
            "country_code": "US",
            "telephone_number": "218-454-3376",
            "fax_number": "218-454-4263",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CENTRAL MINNESOTA DERMATOLOGY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-15",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-19",
        "status": "A",
        "authorized_official_last_name": "BRITTON",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "218-454-3376",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brainerd, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.