Organization Active NPI

SMSS PLLC

Doing business as Southern Minnesota Skin Solutions, PLLC

  • Nurse Practitioner
  • Fairmont, MN
National Provider Identifier
1831846419
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
SMSS PLLC
Doing business as
Southern Minnesota Skin Solutions, PLLC
Practice address
757 S State St Ste 1
Fairmont, MN 56031-4438
Phone
(507) 399-2099
Fax
(507) 235-2930
NPI assigned
Mar 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Authorized official

Name
McKenzie Terfehr, CNPNPI 1689284945
Title
Owner
Phone
(507) 399-2099

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

757 S State St Ste 1
Fairmont, MN 56031-4438

Mailing address

757 S State St Ste 1
Fairmont, MN 56031-4416
Phone (507) 399-2099

Other practice location 1

1235 Highway 15 S
Fairmont, MN 56031-4461
Phone (507) 399-2099

Other names 1

  • Southern Minnesota Skin Solutions, PLLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220531000971 MN Part B Supplier - Clinic/Group Practice 9638557820 Receives reassigned benefits from 2 practitioners
Practice locations: Fairmont, MN

National Provider Directory

National Provider Directory

Locations

757 S State St
Ste 1
Fairmont, MN 56031
Phone (507) 399-2099

1235 Highway 15 S
Fairmont, MN 56031
Phone (507) 399-1604

Practitioners & affiliated clinicians

Practitioners 2

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": "1646265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773878400000",
    "number": "1831846419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "757 S STATE ST STE 1",
            "city": "FAIRMONT",
            "state": "MN",
            "postal_code": "560314416",
            "telephone_number": "507-399-2099",
            "fax_number": "507-235-2930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "757 S STATE ST STE 1",
            "city": "FAIRMONT",
            "state": "MN",
            "postal_code": "560314438",
            "telephone_number": "507-399-2099",
            "fax_number": "507-235-2930"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1235 Highway 15 S",
            "address_purpose": "LOCATION",
            "city": "Fairmont",
            "state": "MN",
            "postal_code": "560314461",
            "country_code": "US",
            "telephone_number": "507-399-2099",
            "fax_number": "507-235-2930",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SMSS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-03",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A",
        "authorized_official_last_name": "TERFEHR",
        "authorized_official_first_name": "MCKENZIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-399-2099",
        "authorized_official_credential": "CNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Minnesota Skin Solutions, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairmont, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.