Derek Mclister, D.P.M
Derek Mclister, D.P.M is a provider specialising in Podiatrist in Fargo, ND, registered under NPI 1114453552. This provider registers 3 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.
Getting there
The practice address on file is 5225 23RD AVE S, Fargo, ND 58104. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 1068 | MN | Podiatrist primary |
| 86 | ND | Orthopaedic Foot and Ankle Surgery… |
Licences are recorded in 2 states: MN, ND. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.
- Status
- Approved
- Provider type
- Practitioner - Podiatry
- PAC ID
- 9032537873
Medicare enrolment is recorded as approved under the provider type Practitioner - Podiatry. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
Licensed in 2 states
This provider holds licences in 2 states: Minnesota and North Dakota. The practice address on file is in Fargo, ND, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.
- Licence
- 86
- Specialty
- Orthopaedic Foot and Ankle Surgery…
Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.
What Podiatrist covers
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. NUCC Health Care Provider Taxonomy, code 213E00000X
All registered taxonomy codes
This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 213E00000X | Podiatrist | 1068 | MN | primary |
| 207XX0004X | Orthopaedic Foot and Ankle Surgery Physician Foot and Ankle Surgery | 86 | ND | |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | ND |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1114453552 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | May 4, 2017 |
| Last updated | Apr 4, 2022 |
| Status | Active |
| Sole proprietor | Yes |
| Credential | D.P.M |
| Practice address |
5225 23RD AVE S Fargo, ND 58104 (701) 417-2575 |
| Mailing address |
PO BOX 5074 Sioux Falls, SD 57117 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 1 | 1 | 4 | 4 | 5 | 3 | 5 | 5 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 1 | 2 | 4 | 8 | 5 | 6 | 5 | 1 |
Sum = 58 · next multiple of 10 = 60 · check digit = 2 · actual last digit = 2
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.