Mat-Su Dermatology, LLC
NPI 1063300580 · MOHS-Micrographic Surgery Physician · Palmer, AK
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mat-Su Dermatology, LLC is a MOHS-Micrographic Surgery Physician organization in Palmer, AK (NPI 1063300580).
Provider details
- NPI number
- 1063300580
- Entity type
- Organization
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Melody Mittelsteadt, Coo(210) 897-9248
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-06-24
- Last updated
- 2025-08-20
- Certified
- 2025-08-20
Frequently asked questions
- What is Mat-Su Dermatology, LLC's NPI number?
- Mat-Su Dermatology, LLC's National Provider Identifier (NPI) is 1063300580, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mat-Su Dermatology, LLC?
- Mat-Su Dermatology, LLC is classified in the NPPES registry as MOHS-Micrographic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Mat-Su Dermatology, LLC located?
- Mat-Su Dermatology, LLC's practice location on file with NPPES is 2250 S Woodworth Loop Ste 101, Palmer, AK 99645-7457.
- What is Mat-Su Dermatology, LLC's phone number?
- The practice phone number listed in the NPPES registry for Mat-Su Dermatology, LLC is (907) 745-7546.
- Does Mat-Su Dermatology, LLC accept Medicare?
- Mat-Su Dermatology, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Mat-Su Dermatology, LLC?
- The authorized official listed on Mat-Su Dermatology, LLC's NPPES record is Melody Mittelsteadt, Coo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mat-Su Dermatology, LLC's NPI active?
- Yes — Mat-Su Dermatology, LLC's NPI (1063300580) is active in the NPPES registry as of the last update on 2025-08-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.