Dermatology Skin Studio PC
NPI 1245123835ActiveOrganization· Dermatology· Spirit Lake, IA
Dermatology in Spirit Lake, Iowa, registered in NPPES in June 2025. The authorized official on file is Nicole Marie Stall, NP, Owner/Np. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1245123835 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 2, 2025 |
| Last updated in NPPES | Jun 5, 2025 |
| Certified by provider | Jun 5, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
| Nurse Practitioner, Family | 363LF0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IA) |
|---|
Other Dermatology providers in Spirit Lake
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