Individual provider Active NPI

Stephanie Dawn Neider, M.D.

  • Dermatology Physician
  • Saint Albans, VT
National Provider Identifier
1386678381
Registry record updated Sep 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
042.0013164 Issued in VT
Practice address
Northern Vermont Dermatology
53 Fairfax Road Suite 2
St. Albans, VT 05478
Phone
(833) 688-3376
NPI assigned
Jul 10, 2006
Last updated
Sep 22, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

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 4301086785 MI
Dermatology Physician 207N00000X 042.0013164 VT Primary

Addresses

Primary practice location

Northern Vermont Dermatology
53 Fairfax Road Suite 2
St. Albans, VT 05478

Mailing address

370 Shelburne Rd.
#4452
South Burlington, VT 05403

Other practice location 1

30 Farrell St Ste 200
South Burlington, VT 05403-6395
Phone (833) 688-3376

Other identifiers 1

IdentifierTypeStateIssuer
4819846MedicaidMI

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
I20151027001586 VT Practitioner - Dermatology 0244293884 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Ohio State University College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

53 Fairfax Rd
Suite 2
Saint Albans, VT 05478-4405
Phone (802) 582-4900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.24 of 100Reported as group
Quality
96.8
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision39
Removal of skin lesions950
Removal of nail tissue1-10
Skin biopsy289

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Vermont Dermatology, PLC Dermatology CurrentSince Jan 1, 2019 Accepting new patients
Manistee Dermatology PastSince Oct 1, 2005 Accepting new patients
Joseph Onorato M.D., P.C. Dermatology Past Accepting new patients
Joseph Onorato M.D., P.C. Dermatology PastSince Oct 1, 1995 Accepting new patients

Locations

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

30 Farrell St
Ste 200
South Burlington, VT 05403
Phone (802) 355-9730

Interoperability endpoints

  • Direct secure messaging: drneider@vtderm.medentdirect.com

Organizations & group practices 4

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 2

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1386678381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 SHELBURNE RD.",
            "address_2": "#4452",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "05403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NORTHERN VERMONT DERMATOLOGY",
            "address_2": "53 FAIRFAX ROAD SUITE 2",
            "city": "ST. ALBANS",
            "state": "VT",
            "postal_code": "05478",
            "telephone_number": "833-688-3376"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 Farrell St Ste 200",
            "address_purpose": "LOCATION",
            "city": "South Burlington",
            "state": "VT",
            "postal_code": "054036395",
            "country_code": "US",
            "telephone_number": "833-688-3376",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEIDER",
        "first_name": "STEPHANIE",
        "middle_name": "DAWN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MI",
            "license": "4301086785",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VT",
            "license": "042.0013164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4819846",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Albans, VT

Sources for this page

Verify at the official NPI Registry.