Mosaic Dermatology PLLC
NPI 1245051390 · Dermatology Physician · West Fargo, ND
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mosaic Dermatology PLLC is a Dermatology Physician organization in West Fargo, ND (NPI 1245051390).
Provider details
- NPI number
- 1245051390
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Joanne Montgomery, Owner(312) 415-8615
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
- 2024-10-22
- Last updated
- 2025-02-27
- Certified
- 2025-02-27
Frequently asked questions
- What is Mosaic Dermatology PLLC's NPI number?
- Mosaic Dermatology PLLC's National Provider Identifier (NPI) is 1245051390, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mosaic Dermatology PLLC?
- Mosaic Dermatology PLLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Mosaic Dermatology PLLC located?
- Mosaic Dermatology PLLC's practice location on file with NPPES is 567 32nd Ave E Ste 100, West Fargo, ND 58078-8480.
- What is Mosaic Dermatology PLLC's phone number?
- The practice phone number listed in the NPPES registry for Mosaic Dermatology PLLC is (701) 941-3100.
- Does Mosaic Dermatology PLLC accept Medicare?
- Mosaic Dermatology PLLC 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 Mosaic Dermatology PLLC?
- The authorized official listed on Mosaic Dermatology PLLC's NPPES record is Joanne Montgomery, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mosaic Dermatology PLLC's NPI active?
- Yes — Mosaic Dermatology PLLC's NPI (1245051390) is active in the NPPES registry as of the last update on 2025-02-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.