NPIMap

Individual provider Active NPI

Maren Kelly Ness Gaul, D.O.

  • Dermatology Physician
  • Rapid City, SD
National Provider Identifier
1699061085
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
12230 Issued in SD
Practice address
705 Columbus St FL 2
Rapid City, SD 57701-3623
Phone
(605) 600-8380
Fax
(605) 939-7223
NPI assigned
Jun 23, 2011
Last updated
Feb 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2026

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 12230 SD Primary

Addresses

Primary practice location

705 Columbus St FL 2
Rapid City, SD 57701-3623

Mailing address

705 Columbus St FL 2
Rapid City, SD 57701-3623
Phone (605) 600-8380

Other names 1

  • Maren Kelly Ness Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, MS2 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
I20201112001170 SD Practitioner - Dermatology 2264730506 Practice locations: Rapid City, SD
I20251018000588 MS Practitioner - Dermatology 2264730506 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
At Still Un of HLTH Sciences, Col of Osteo Med, Mesa, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Dermatology and Skin Cancer Associates, PLLCGroup PAC ID 2163501834, 12 clinicians

Practice addresses (Care Compare)

3655 Canyon View CT
Rapid City, SD 57701-5396

7203 Goodman Rd
Olive Branch, MS 38654-1906
Phone (901) 759-2322

PO Box
Suite 3488
Tupelo, MS 38803

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision49
Removal of skin lesions226
Removal of skin cancer184
Skin biopsy139

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Dermatology and Skin Cancer Associates, PLLC CurrentSince Aug 8, 2025 Accepting new patients
Rapid City Dermatology & Mohs PLLC PastSince Oct 1, 2025 Accepting new patients

Locations

7203 Goodman Rd
Olive Branch, MS 38654
Phone (901) 759-2322

Organizations & group practices 2

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 12

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": "1308787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770595200000",
    "number": "1699061085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 COLUMBUS ST FL 2",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577013623",
            "telephone_number": "605-600-8380",
            "fax_number": "605-939-7223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 COLUMBUS ST FL 2",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577013623",
            "telephone_number": "605-600-8380",
            "fax_number": "605-939-7223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUL",
        "first_name": "MAREN",
        "middle_name": "KELLY NESS",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-23",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "SD",
            "license": "12230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAREN",
            "last_name": "NESS",
            "middle_name": "KELLY",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rapid City, SD

Sources for this page

Verify at the official NPI Registry.