Individual provider Active NPI

Julie S Cronk, M.D.

  • MOHS-Micrographic Surgery Physician
  • Saint Paul, MN
National Provider Identifier
1467406843
Registry record updated Sep 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
42849 Issued in MN
Practice address
3555 Willow Lake Blvd
Suite 240
Saint Paul, MN 55110-5131
Phone
(651) 770-0110
Fax
(651) 770-0134
NPI assigned
May 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2020

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 42849 MN
MOHS-Micrographic Surgery Physician 207ND0101X 42849 MN Primary

Addresses

Primary practice location

3555 Willow Lake Blvd
Suite 240
Saint Paul, MN 55110-5131

Mailing address

60 Plato Blvd E
Saint Paul, MN 55107-1827
Phone (651) 209-1600

Other identifiers 1

IdentifierTypeStateIssuer
077077900MedicaidMN

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
I20040719000815 MN Practitioner - Micrographic Dermatologic Surgery (MDS)Practitioner - Dermatology 6103805593 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Micrographic Dermatologic Surgery (MDS)Also: Dermatology
Education
University of Minnesota Medical School, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Consultants, PAGroup PAC ID 1850295676, 23 clinicians

Practice addresses (Care Compare)

3555 Willow Lake Blvd
Suite 240
Vadnais Heights, MN 55110-5131
Phone (651) 770-0110

Merit-based Incentive Payment System (MIPS)

Final score
79.99 of 100Reported as group
Quality
61.48
Promoting interoperability
93
Improvement activities
40
Cost
77.67

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision69
Removal of tissue1-10
Removal of skin lesions82
Removal of skin cancer572
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy52

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Consultants, PA Dermatology CurrentSince Jul 1, 2004 Accepting new patients

Locations

60 Plato Blvd E
Ste 270
Saint Paul, MN 55107
Phone (651) 209-1600

3555 Willow Lake Blvd
Ste 240
Vadnais Heights, MN 55110
Phone (651) 770-0110

576 Bielenberg Dr
Ste 200
Woodbury, MN 55125
Phone (651) 209-1600

Interoperability endpoints

  • Direct secure messaging: jcronk@dermcons.encitedirect.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601251200000",
    "number": "1467406843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 PLATO BLVD E",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551071827",
            "telephone_number": "651-209-1600",
            "fax_number": "651-291-9169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 WILLOW LAKE BLVD",
            "address_2": "SUITE 240",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551105131",
            "telephone_number": "651-770-0110",
            "fax_number": "651-770-0134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRONK",
        "first_name": "JULIE",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-20",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MN",
            "license": "42849",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "MN",
            "license": "42849",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "077077900",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.