Active NPI
John D Mischke, MD
- Dermatology Physician
- Saint Cloud, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 35762
- Practice address
- 1200 6TH Ave N
Saint Cloud, MN 56303-2735 - Phone
- (320) 252-5131
- Fax
- (320) 240-2118
- NPI assigned
- Aug 11, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 35762 | MN | Primary |
Addresses
Primary practice location
1200 6TH Ave N
Saint Cloud, MN 56303-2735
Mailing address
1200 6TH Ave N
Saint Cloud, MN 56303-2735
Phone (320) 252-5131
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1451002 | Other | ARAZ GROUP/AMERICA'S PPO | |
| HP13991 | Other | HEALTH PARTNERS | |
| 1028918 | Other | PREFERRED ONE | |
| 141074 | Other | U-CARE | |
| 2119215 | Other | FIRST HEALTH PLAN | |
| 0300171 | Other | MEDICA HEALTH PLANS | |
| 10-22-2001 | Other | MMSI | |
| 58F40MI | Other | BCBS |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- University of Minnesota Medical School, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3833 Coon Rapids Nwblvd
Suite 280
Coon Rapids, MN 55433-2597
Phone (763) 571-4000
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.79 of 100
- Quality
- 53.64
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 88.99
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 31 |
| Removal of skin lesions | 634 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 349 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associated Skin Care Specialists, PA | Dermatology | Current | Accepting new patients |
| Reese Surgical Group PLLC | Past | Accepting new patients | |
| Centracare Clinic | Past | Accepting new patients | |
| Centracare Clinic | Past | Accepting new patients |
Locations
11107 Ulysses St NE
Ste 200
Blaine, MN 55434
Phone (763) 571-4000
3833 Coon Rapids Blvd NW
Ste 280
Coon Rapids, MN 55433
Phone (763) 571-4000
500 Osborne Rd NE
Ste 330
Fridley, MN 55432
Phone (763) 571-4000
119 14th St NW
Ste 240
Saint Paul, MN 55112
Organizations & group practices 4
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.
-
- Dermatology Physician
- Coon Rapids, MN
- NPI 1083659569
-
- Multi-Specialty Clinic/Center
- St Joseph, MN
- NPI 1134121759
-
- Multi-Specialty Clinic/Center
- Saint Cloud, MN
- NPI 1225030844
-
- Vascular Surgery Physician
- Edina, MN
- NPI 1972762631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1609878446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 6TH AVE N",
"city": "SAINT CLOUD",
"state": "MN",
"postal_code": "563032735",
"telephone_number": "320-252-5131",
"fax_number": "320-240-2118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 6TH AVE N",
"city": "SAINT CLOUD",
"state": "MN",
"postal_code": "563032735",
"telephone_number": "320-252-5131",
"fax_number": "320-240-2118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MISCHKE",
"first_name": "JOHN",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-11",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "MN",
"license": "35762",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARAZ GROUP/AMERICA'S PPO",
"identifier": "1451002",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "HP13991",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "1028918",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "U-CARE",
"identifier": "141074",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH PLAN",
"identifier": "2119215",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA HEALTH PLANS",
"identifier": "0300171",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MMSI",
"identifier": "10-22-2001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "58F40MI",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Cloud, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.