Organization Active NPI

Driftless Skin Center, P.C.

  • Medical Physician Assistant
  • Dubuque, IA
National Provider Identifier
1871350868
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Legal business name
DRIFTLESS SKIN CENTER, P.C.
Practice address
3405 Lake Ridge Dr
Dubuque, IA 52003-7800
Phone
(563) 900-8922
Fax
(563) 279-0653
NPI assigned
Mar 5, 2024
Last updated
Jul 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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

Authorized official

Name
Megan Moser Eisel, PA-CNPI 1356445886
Title
Physician Assistant/Owner
Phone
(563) 900-8922

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X NU Primary

Addresses

Primary practice location

3405 Lake Ridge Dr
Dubuque, IA 52003-7800

Mailing address

3405 Lake Ridge Dr
Dubuque, IA 52003-7800
Phone (563) 900-8922

National Provider Directory

National Provider Directory

Locations

1550 University Ave
Ste B
Dubuque, IA 52001
Phone (563) 213-8433

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1709596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784505600000",
    "number": "1871350868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3405 LAKE RIDGE DR",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520037800",
            "telephone_number": "563-900-8922",
            "fax_number": "563-279-0653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3405 LAKE RIDGE DR",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520037800",
            "telephone_number": "563-900-8922",
            "fax_number": "563-279-0653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRIFTLESS SKIN CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-05",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A",
        "authorized_official_last_name": "EISEL",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_middle_name": "MOSER",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT/OWNER",
        "authorized_official_telephone_number": "563-900-8922",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dubuque, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.