DR. NANCY ELLEN MCDERMOTT (DMD MD) – Oral and Maxillofacial Surgery (Dentist), NPI 1679549182

DR. NANCY ELLEN MCDERMOTT (DMD MD) is a healthcare provider. based in Austin, Minnesota. specializing in ORAL SURGERY. They hold the professional credentials DMD MD. They hold a License No. S121 (MN). The NPI Number for DR. NANCY ELLEN MCDERMOTT (DMD MD) is 1679549182

Main info

Female
18 Years Of Experience
Name
DR. NANCY ELLEN MCDERMOTT (DMD MD)
NPI
1679549182
Phone
(507) 433-1031
Address
605 W OAKLAND AVE
Enumeration Date
24 February 2006
Last Update Date
6 May 2017

Doctor Profile

Medical School Name
HARVARD SCHOOL OF DENTAL MEDICINE
Secondary Phone
6514526933
Graduation Year
2008 (18 years ago)
PAC ID
4587987342
Group Practice PAC ID
9436127560
Professional Enrollment ID
I20230510000251
Address ID
MN550601589OW155XXNEXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

81 ORAL SURGERY in MN

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Provider Addresses for DR. NANCY ELLEN MCDERMOTT (DMD MD)

  • West Oakland Avenue, Austin, Mower County, Minnesota, 55912, United States

    SEMOMS

    AUSTIN, MN 559122317

    Phone: (507) 433-1031

    Fax: (507) 433-6115

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $336.

Total Amount is formed as General ($336) + Research ($0) + Ownership ($0) = $336.

Last reported payment date: 2024-11-07 • Largest payer in this snapshot: Straumann USA LLC ($255).

Total Amount

$336

General + Research + Ownership

Payments

4

Total payment records

General Amount

$336

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-07

Latest reported date

Top Companies

Largest payers in this snapshot

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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: 2023-05-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230510000251IOral SurgeryMNTBD

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.

Verify on CMS Revalidation Lookup Tool

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 55912)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9436127560View full group profile
NameSpecialtyState
Oral SurgeryMN
Oral SurgeryMN
-MN
Maxillofacial SurgeryMN
Oral Surgery, Maxillofacial SurgeryMN
Maxillofacial SurgeryMN

Reviews

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Frequently asked questions

What NPI should I save for DR. NANCY ELLEN MCDERMOTT (DMD MD)?
Save NPI 1679549182 if you need a stable reference for DR. NANCY ELLEN MCDERMOTT (DMD MD).
Does this profile mean DR. NANCY ELLEN MCDERMOTT (DMD MD) is currently active?
Yes — DR. NANCY ELLEN MCDERMOTT (DMD MD) appears active in the national provider directory.
Does DR. NANCY ELLEN MCDERMOTT (DMD MD) list a primary specialty?
If you are matching referrals, note Oral and Maxillofacial Surgery (Dentist) for DR. NANCY ELLEN MCDERMOTT (DMD MD). Clinical services aligned with this taxonomy classification.
Does DR. NANCY ELLEN MCDERMOTT (DMD MD) practice in Minnesota?
You will see Austin, Minnesota on file for DR. NANCY ELLEN MCDERMOTT (DMD MD) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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