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NPI · 1063300580 · NPPES-sourced

Mat-Su Dermatology, LLC

ActiveDermatology, Mohs Surgery
NPI Number
1063300580
Type 2 · Organisation
Taxonomy Code
207ND0101X
Contact
(907) 745-7546
Primary practice line
Last Updated
Enumerated
Primary practice addressAK · 99645-7457
2250 S Woodworth Loop Ste 101Palmer, AK 99645-7457
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About this NPIWhat this record shows.

NPI 1063300580 is registered to Mat-Su Dermatology, LLC, a healthcare organisation classified as "Dermatology, Mohs Surgery" and located at 2250 S Woodworth Loop Ste 101 in Palmer, Alaska. The organisation's authorised official is Melody Mittelsteadt. The organisation has been enumerated in the NPI registry since 2025.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part B Supplier

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Mat-Su Dermatology, LLC accepts. To confirm in-network status with your specific health plan, contact Mat-Su Dermatology, LLC directly at (907) 745-7546.

Frequently asked

Yes. NPI 1063300580 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Dermatology, Mohs Surgery is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (907) 745-7546.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Mat-Su Dermatology, LLC is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy207ND0101X
Last updated
Enumerated
StatusActive
Partneri
partner offer
Tools for healthcare teams.
Curated partner offers for clinics and front-desk staff.
Explore partners →
Affiliate placement. We may earn a commission.
Sponsored

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Same specialtyOther Dermatology, Mohs Surgery providers in Alaska.

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