Individual provider Active NPI

Alexandra Christine Schmidt, M.D.

  • Plastic Surgery Physician
  • Williston, VT
National Provider Identifier
1336403351
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
042.0015290 Issued in VT
Practice address
372 Hurricane LN Ste 201
Williston, VT 05495-2080
Phone
(603) 682-0358
NPI assigned
Jun 25, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 2018-00274 NC
Plastic Surgery Physician 208200000X 042.0015290 VT Primary

Addresses

Primary practice location

372 Hurricane LN Ste 201
Williston, VT 05495-2080

Mailing address

372 Hurricane LN Ste 201
Williston, VT 05495-2080
Phone (802) 755-5752

Other practice location 1

105 Westview Rd Ste 120
Colchester, VT 05446-8025
Phone (802) 444-4421

Other practice location 2

11208 Statesville Rd Ste 300
Huntersville, NC 28078
Phone (704) 659-9000

Other identifiers 1

IdentifierTypeStateIssuer
6707160MedicaidVT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
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
I20210929001897 VT Practitioner - Plastic and Reconstructive Surgery 1355748625 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

372 Hurricane LN
Suite 201
Williston, VT 05495-2080
Phone (802) 755-5752

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2018-00274NCMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vermont Plastic Surgery PLC Plastic Surgery CurrentSince Jan 21, 2025 Accepting new patients
The Hunstad Kortesis Center PastSince Aug 1, 2012 Accepting new patients

Locations

372 Hurricane Ln
Ste 201
Williston, VT 05495
Phone (603) 682-0358

Organizations & group practices 2

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": "1340582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1336403351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "372 HURRICANE LN STE 201",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054952080",
            "telephone_number": "802-755-5752",
            "fax_number": "802-200-8288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "372 HURRICANE LN STE 201",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054952080",
            "telephone_number": "603-682-0358"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 Westview Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Colchester",
            "state": "VT",
            "postal_code": "054468025",
            "country_code": "US",
            "telephone_number": "802-444-4421",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11208 Statesville Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Huntersville",
            "state": "NC",
            "postal_code": "28078",
            "country_code": "US",
            "telephone_number": "704-659-9000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "ALEXANDRA",
        "middle_name": "CHRISTINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-25",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NC",
            "license": "2018-00274",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "VT",
            "license": "042.0015290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6707160",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williston, VT

Sources for this page

Verify at the official NPI Registry.