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NPI · 1114453552 · NPPES-sourced

Dr. Derek Mclister D.P.M

ActivePodiatry
NPI Number
1114453552
Type 1 · Individual
Taxonomy Code
213E00000X
Contact
(701) 417-2575
License MN · 1068
Last Updated
About 4 years ago (Apr 2022)
Enumerated 2017-05-04
Primary practice addressND · 58104-7927
5225 23rd Ave SFargo, ND 58104-7927
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About this NPIWhat this record shows.

NPI 1114453552 is registered to Dr. Derek Mclister D.P.M, a Podiatry practising at 5225 23rd Ave S in Fargo, North Dakota. Podiatry is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Dr. Derek Mclister D.P.M has been enumerated in the National Provider Identifier (NPI) registry since 2017.

Provider type
Individual (Type 1)
Status
Active
Enumerated
2017-05-04
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Medicare enrollment

This provider holds 2 Medicare enrollments 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.

Practitioner

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 Dr. Derek Mclister D.P.M accepts. To confirm in-network status with your specific health plan, contact Dr. Derek Mclister D.P.M directly at (701) 417-2575.

Frequently asked

Yes. NPI 1114453552 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Podiatry 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 (701) 417-2575.

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. Dr. Derek Mclister D.P.M is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy213E00000X
Last updated2022-04
Enumerated2017-05-04
StatusActive
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3 records · same addressOther providers at this location.

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Same specialtyOther Podiatry providers in North Dakota.

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Adjacent in the NPPES enumeration sequenceNPIs enumerated around this one.

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