Dermatology Professionals PA

Dermatology Professionals PA is a healthcare organization registered as Clinic/Center in Baxter, MN, holding Type 2 (organization) NPI 1306196548 since 2012. The authorized official on file is Morgan Burgstaler, Administrator.

✓ Active NPI ✓ Valid NPI checksum Organization subpart

NPI	1306196548
Entity type	Organization (Type 2)
Legal business name	Dermatology Professionals PA
Parent organization	Dermatology Professionals PA
Practice address	15167 EDGEWOOD DR, SUITE 200, Baxter, MN, 56401
Phone	2184547546
Enumeration date	2012-09-14
Last updated in NPPES	2024-06-12

Authorized official

Name	Morgan Burgstaler
Title	Administrator
Phone	2184543065

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
261Q00000X	Clinic/Center	Primary	45453	MN

Copy-ready billing details

Provider: Dermatology Professionals PA
NPI: 1306196548
Taxonomy: 261Q00000X (Clinic/Center)
Address: 15167 EDGEWOOD DR, SUITE 200, Baxter, MN, 56401

Providers at this address

NPI	Name	Type	Specialty	Location
1144588070	Jenna Ude	Individual	General Practice Dentistry	Brainerd, MN

Verify this record

Cross-check NPI 1306196548 against the authoritative CMS record: view Dermatology Professionals PA on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Where is Dermatology Professionals PA located?

The practice location on file with NPPES is in Baxter, MN.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2024-06-12. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-06-12.