Individual provider Active NPI

Kristen Ann Stephen, MD

  • Dermatology Physician
  • Wexford, PA
National Provider Identifier
1114968112
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD061435L Issued in PA
Practice address
1000 Stonewood Dr Ste 200
Wexford, PA 15090-8386
Phone
(724) 778-3020
Fax
(724) 778-3024
NPI assigned
Jun 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MD061435L PA Primary

Addresses

Primary practice location

1000 Stonewood Dr Ste 200
Wexford, PA 15090-8386

Mailing address

801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-9008

Other practice location 1

5750 Centre Ave Ste 500
Pittsburgh, PA 15206-3789
Phone (412) 683-5211

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address kristen.stephen@forefrontdermatology.emadirect.md
Direct Messaging Address kristen.stephen@forefrontdermatology.emadirect.md

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20101026001303 PA Practitioner - Dermatology 2860685559 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Pennsylvania State University College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

1000 Stonewood Dr
Suite 200
Wexford, PA 15090-8386
Phone (724) 778-3020

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions631
Removal or shaving of skin growth52
Skin biopsy261

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD061435LPAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Dermatology, S.C. Dermatology CurrentSince Jul 20, 2016 Accepting new patients
Forefront Dermatology, S.C. Dermatology Current Accepting new patients
Forefront Dermatology, S.C. Dermatology CurrentSince Jul 20, 2016 Accepting new patients
Forefront Dermatology, S.C. Dermatology Past Accepting new patients
Three Rivers Dermatology, LLC Dermatology PastSince Oct 1, 2015 Accepting new patients

Locations

180 Fort Couch Rd
Ste 200
Pittsburgh, PA 15241
Phone (412) 595-0430

4727 Friendship Ave
Ste 300
Pittsburgh, PA 15224
Phone (412) 683-5211

5750 Centre Ave
Ste 500
Pittsburgh, PA 15206
Phone (412) 661-2336

1000 Stonewood Dr
Ste 200
Wexford, PA 15090
Phone (724) 778-3020

801 York St
Manitowoc, WI 54220
Phone (866) 630-9882

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1114968112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 STONEWOOD DR STE 200",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150908386",
            "telephone_number": "724-778-3020",
            "fax_number": "724-778-3024"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5750 Centre Ave Ste 500",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152063789",
            "country_code": "US",
            "telephone_number": "412-683-5211",
            "fax_number": "412-683-0737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEPHEN",
        "first_name": "KRISTEN",
        "middle_name": "ANN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MD061435L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kristen.stephen@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "1000 Stonewood Dr",
            "address_2": "Suite 200",
            "city": "Wexford",
            "state": "PA",
            "country_code": "US",
            "postal_code": "150908386",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kristen.stephen@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "5750 Centre Ave Ste 500",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152063789",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wexford, PA

Sources for this page

Verify at the official NPI Registry.