Prairie Dermatology, PLLC
NPI 1881333680 · Dermatology Physician · Bloomington, IL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Prairie Dermatology, PLLC is a Dermatology Physician organization in Bloomington, IL (NPI 1881333680).
Provider details
- NPI number
- 1881333680
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Caitlyn Stoewer, Physician Assistant(309) 531-1252
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
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
- 2022-05-31
- Last updated
- 2026-03-09
- Certified
- 2026-03-09
Frequently asked questions
- What is Prairie Dermatology, PLLC's NPI number?
- Prairie Dermatology, PLLC's National Provider Identifier (NPI) is 1881333680, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Prairie Dermatology, PLLC?
- Prairie Dermatology, PLLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Prairie Dermatology, PLLC located?
- Prairie Dermatology, PLLC's practice location on file with NPPES is 1015 S Mercer Ave Ste Gf7, Bloomington, IL 61701-7107.
- What is Prairie Dermatology, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Prairie Dermatology, PLLC is (309) 660-8442.
- Does Prairie Dermatology, PLLC accept Medicare?
- Prairie 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 Prairie Dermatology, PLLC?
- The authorized official listed on Prairie Dermatology, PLLC's NPPES record is Caitlyn Stoewer, Physician Assistant. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Prairie Dermatology, PLLC's NPI active?
- Yes — Prairie Dermatology, PLLC's NPI (1881333680) is active in the NPPES registry as of the last update on 2026-03-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.