Aubrey Greer Wagenseller, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

259597 Issued in MA

Practice address

609 Albany St
J-205a, Department of Dermatology,
Boston, MA 02118-2515

Phone

(617) 638-5500

NPI assigned

Apr 15, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

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

Specialty

Dermatology

Education

University of Virginia School of Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Derm Associates LLCGroup PAC ID 4688653306, 44 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: awagenseller7911@direct.neighborhealth.masshiway.net

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.

• Derm Associates LLC

  • Dermatology Physician
  • Silver Spring, MD
  • NPI 1649271354

  DC

  Medicare reassignment Care Compare group NPD
• Medical Associates of Ebnhc

  • Community Health Clinic/Center
  • East Boston, MA
  • NPI 1255451597
  NPD
• Elizabeth Mitchell Dugan MD LLC

  • Specialist
  • Silver Spring, MD
  • NPI 1588869226
  NPD (past)

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

{
    "created_epoch": "1365984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403049600000",
    "number": "1336582840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 ALBANY ST",
            "address_2": "J-205A, DEPARTMENT OF DERMATOLOGY,",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182515",
            "telephone_number": "617-638-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 ALBANY ST",
            "address_2": "J-205A, DEPARTMENT OF DERMATOLOGY,",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182515",
            "telephone_number": "617-638-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGENSELLER",
        "first_name": "AUBREY",
        "middle_name": "GREER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-15",
        "last_updated": "2014-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "259597",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sakshi Wadhwa
• Martha Wadleigh, MD
• Robert E Wadlin, MA, LMHC
• Kurtis Lee Wadsworth, D.M.D.
• Chloe Wagen
• Abhijeet Waghray, MD
• Elke M Wagle
• Neil Wattson Wagle, M.D.
• Nikhil Wagle, M.D.
• Wagner Medical PC

• Dermatology Physician in Boston, MA
• Providers in Boston, MA by specialty
• Dermatology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.