LAURA MICHELLE REZAC (MD) – MOHS-Micrographic Surgery Physician, NPI 1578182911
MOHS-Micrographic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
419 DERMATOLOGY in MN
Provider Addresses for LAURA MICHELLE REZAC (MD)
2720 FAIRVIEW AVE N STE 200
ROSEVILLE, MN 551131306
Phone: (651) 633-6883
Fax: (651) 331-3459
Type: Mailing
2720 FAIRVIEW AVE N
ROSEVILLE, MN 551131306
Phone: (651) 634-1410
Fax: (651) 689-8340
Type: Location
25763 PACKARD LN
RENNER, SD 570556521
Phone: (605) 254-3418
Type: Mailing
1400 W 22ND ST
SIOUX FALLS, SD 571051554
Phone: (605) 357-1386
Type: Location
120 DISTRICT BLVD APT 536
JACKSON, MS 392116477
Phone: (605) 254-3418
Type: Mailing
2500 N STATE ST
JACKSON, MS 392164500
Phone: (601) 815-3061
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 52 Open Payments records for all available years, with a total value of $7,257.
Total Amount is formed as General ($7,257) + Research ($0) + Ownership ($0) = $7,257.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($3,971).
Total Amount
$7,257
General + Research + Ownership
Payments
52
Total payment records
General Amount
$7,257
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boehringer Ingelheim Pharmaceuticals, Inc. | $3,971 |
| ABBVIE INC. | $722 |
| GENZYME CORPORATION | $621 |
| Dermavant Sciences, Inc. | $464 |
| E.R. Squibb & Sons, L.L.C. | $247 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-07-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250729000337 | I | Dermatology | WI | TBD |
| I20250729000361 | I | Dermatology | MN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 55113)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | MN | |
| Physician Assistant | MN | |
| D E R M A T O L O G Y | MN | |
| Physician Assistant | MN | |
| Physician Assistant | MN | |
| P O D I A T R Y | WI | |
| Physician Assistant | MN | |
| P A T H O L O G Y | IL | |
| Physician Assistant | MN | |
| P A T H O L O G Y | CT |
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