Individual provider Active NPI

Julie Hsiao-Wen Lin, MD

  • Dermatology Physician
  • Saint Albans, VT
National Provider Identifier
1063572907
Registry record updated Sep 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
042-0011829 Issued in VT
Practice address
53 Fairfax Rd Ste 2
Saint Albans, VT 05478-4405
Phone
(833) 688-3376
NPI assigned
Dec 11, 2006
Last updated
Sep 22, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MD436030 PA
Dermatology Physician 207N00000X 042-0011829 VT Primary

Addresses

Primary practice location

53 Fairfax Rd Ste 2
Saint Albans, VT 05478-4405

Mailing address

53 Fairfax Rd Ste 2
Saint Albans, VT 05478-4405
Phone (833) 688-3376

Other practice location 1

111 Colchester Ave
East Paviliion Dermatology
Burlington, VT 05401-1473
Phone (802) 847-4570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20091026000464 VT Practitioner - Dermatology 9133275209 Reassigns benefits to 3 organizations
I20170118002710 CA Practitioner - Dermatology 9133275209 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 S Prospect St
Burlington, VT 05401-3456
Phone (802) 847-0000

111 Colchester Ave
Burlington, VT 05401-1473
Phone (802) 847-0000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions25
Skin biopsy19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Central Vermont Medical Center Inc CurrentSince May 17, 2024 Accepting new patients
Direct Dermatology Professionals PC Dermatology CurrentSince Dec 14, 2016 Accepting new patients
University of Vermont Medical Center Inc CurrentSince Oct 1, 2009 Accepting new patients
Northern Vermont Dermatology, PLC Dermatology CurrentSince Jul 26, 2019 Accepting new patients
Benedetto Dermatology,LLC Past Accepting new patients
Benedetto Dermatology, LLC Past Accepting new patients

Locations

5305 N Fresno St
Ste 105
Fresno, CA 93710
Phone (510) 241-2884

165 Saint Dominics Dr
Ste 120
Manteca, CA 95337
Phone (209) 823-0000

530 Lytton Ave
Fl 2
Palo Alto, CA 94301
Phone (415) 663-5584

130 Fisher Rd
Berlin, VT 05602
Phone (802) 225-5820

130 Fisher Rd
#C
Berlin, VT 05602
Phone (802) 225-5400

1 S Prospect St
Burlington, VT 05401
Phone (802) 847-4531

111 Colchester Ave
Burlington, VT 05401
Phone (802) 656-2415

53 Fairfax Rd
#2
Saint Albans, VT 05478
Phone (802) 524-2779

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: jlin49649@direct.uvmhealth.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1063572907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 FAIRFAX RD STE 2",
            "city": "SAINT ALBANS",
            "state": "VT",
            "postal_code": "054784405",
            "telephone_number": "833-688-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 FAIRFAX RD STE 2",
            "city": "SAINT ALBANS",
            "state": "VT",
            "postal_code": "054784405",
            "telephone_number": "833-688-3376"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Colchester Ave",
            "address_2": "East Paviliion Dermatology",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "VT",
            "postal_code": "054011473",
            "country_code": "US",
            "telephone_number": "802-847-4570",
            "fax_number": "802-847-3364",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIN",
        "first_name": "JULIE",
        "middle_name": "HSIAO-WEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MD436030",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VT",
            "license": "042-0011829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Albans, VT

Sources for this page

Verify at the official NPI Registry.