NPIMap

Individual provider Active NPI

Stephen H. Genereaux, M.D.

  • Family Medicine Physician
  • Wells River, VT
National Provider Identifier
1679528723
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
420007871 Issued in VT
Practice address
65 Main St
Wells River, VT 05081
Phone
(802) 757-2325
Fax
(855) 868-7197
NPI assigned
May 24, 2006
Last updated
Dec 2, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 9110 NH
Family Medicine Physician 207Q00000X 420007871 VT Primary

Addresses

Primary practice location

65 Main St
Wells River, VT 05081

Mailing address

PO Box 8
Newbury, VT 05051-0008
Phone (802) 222-3026

Other identifiers 2

IdentifierTypeStateIssuer
0009211MedicaidVT
080058695OtherVTRAIL ROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, VT2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20051105000263 NH Practitioner - Family Practice 4587572243
I20061030000391 VT Practitioner - Family PracticePractitioner - Obstetrics/Gynecology 4587572243 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Obstetrics/Gynecology
Education
Geisel School of Medicine at Dartmouth, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Little Rivers Health Care, Inc.Group PAC ID 8224031497, 30 clinicians

Practice addresses (Care Compare)

437 S Main St
Bradford, VT 05033-0338
Phone (802) 222-9317

65 Main St
Wells River, VT 05081-3000
Phone (807) 757-2325

720 Village Rd
East Corinth, VT 05040-9783
Phone (802) 439-5321

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
420007871VTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Little Rivers Health Care, Inc. Past Accepting new patients
Little Rivers Health Care, Inc. Past Accepting new patients
Munson Medical Center Family Medicine Past Accepting new patients
Little Rivers Health Care, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sgenereaux@yourcarecommunity.org
  • Direct secure messaging: stephen.genereaux@lrhc.eclinicaldirectplus.com

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Valley Health CenterEast Corinth, VT, CCN 471824 Federally qualified health center W-2 Managing Employee Jun 1, 2006
Wells River ClinicWells River, VT, CCN 471826 Federally qualified health center W-2 Managing Employee Jun 1, 2006

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1679528723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8",
            "city": "NEWBURY",
            "state": "VT",
            "postal_code": "050510008",
            "telephone_number": "802-222-3026",
            "fax_number": "855-868-7197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 MAIN ST",
            "city": "WELLS RIVER",
            "state": "VT",
            "postal_code": "05081",
            "telephone_number": "802-757-2325",
            "fax_number": "855-868-7197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENEREAUX",
        "first_name": "STEPHEN",
        "middle_name": "H.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "9110",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VT",
            "license": "420007871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009211",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "080058695",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wells River, VT

Sources for this page

Verify at the official NPI Registry.