Advanced Dermatology of the Black Hills, PC
NPI 1669125241 · Physician Assistant · Rapid City, SD
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Advanced Dermatology of the Black Hills, PC is a Physician Assistant organization in Rapid City, SD (NPI 1669125241).
Provider details
- NPI number
- 1669125241
- Entity type
- Organization
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Jonathan Medeck, Owner/Physician'S Assistant(605) 381-6082
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Dermatology Physician207N00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs 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
- 2022-02-02
- Last updated
- 2022-02-02
- Certified
- 2022-02-02
Frequently asked questions
- What is Advanced Dermatology of the Black Hills, PC's NPI number?
- Advanced Dermatology of the Black Hills, PC's National Provider Identifier (NPI) is 1669125241, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Advanced Dermatology of the Black Hills, PC?
- Advanced Dermatology of the Black Hills, PC is classified in the NPPES registry as Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Advanced Dermatology of the Black Hills, PC located?
- Advanced Dermatology of the Black Hills, PC's practice location on file with NPPES is 710 Saint Anne St, Rapid City, SD 57701-4670.
- What is Advanced Dermatology of the Black Hills, PC's phone number?
- The practice phone number listed in the NPPES registry for Advanced Dermatology of the Black Hills, PC is (605) 343-8000.
- Does Advanced Dermatology of the Black Hills, PC accept Medicare?
- Advanced Dermatology of the Black Hills, PC 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 Advanced Dermatology of the Black Hills, PC?
- The authorized official listed on Advanced Dermatology of the Black Hills, PC's NPPES record is Jonathan Medeck, Owner/Physician'S Assistant. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Advanced Dermatology of the Black Hills, PC's NPI active?
- Yes — Advanced Dermatology of the Black Hills, PC's NPI (1669125241) is active in the NPPES registry as of the last update on 2022-02-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.