Individual provider Active NPI

Madeliene Elaine Gainers, MD

  • Dermatology Physician
  • Saint Louis, MO
National Provider Identifier
1679779565
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
01086547A Issued in IN
Practice address
660 S. Euclid Avenue
Washington Univ Med Ctr/Div of Dermatology
St Louis, MO 63110
Phone
(314) 454-8622
Fax
(314) 454-5928
NPI assigned
Jun 26, 2007
Last updated
Mar 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 2008017205 MO
Dermatology Physician 207N00000X 0101265983 VA
Dermatology Physician 207N00000X 101365 WI
Dermatology Physician 207N00000X 17422C WY
Dermatology Physician 207N00000X 01086547A IN Primary
Psychiatry Physician 2084P0800X LL29975 SC

Addresses

Primary practice location

660 S. Euclid Avenue
Washington Univ Med Ctr/Div of Dermatology
St Louis, MO 63110

Mailing address

660 S. Euclid Avenue, Box 8123
Washington Univ Med Ctr/Div of Dermatology
St Louis, MO 63110
Phone (314) 454-8622

Other practice location 1

10620 Corporate Dr
Fort Wayne, IN 46845-1711
Phone (260) 266-8392

Other practice location 2

563 Neff Ave Ste A
Harrisonburg, VA 22801-3765
Phone (540) 434-1756

Other practice location 3

66 Parkway Ln Ste 101A
Fishersville, VA 22939-2385
Phone (540) 451-2833

Other practice location 4

1821 S Stoughton Rd
Madison, WI 53716-2257
Phone (608) 260-6000

Other practice location 5

469 Highway 50
Gillette, WY 82718-9330
Phone (307) 387-9850

Other identifiers 1

IdentifierTypeStateIssuer
1679779565MedicaidWI

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address Madeliene.Gainers@forefrontdermatology.emadirect.md
Direct Messaging Address Madeliene.Gainers@forefrontdermatology.emadirect.md
Direct Messaging Address mgainers500541@direct-ehr-ssmhc.com Direct
FHIR URL https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, IN, DC, VA, WI, WY6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20120914000550 FL Practitioner - Dermatology 4688822703 Reassigns benefits to 1 organization
I20210907001246 IN Practitioner - Dermatology 4688822703 Reassigns benefits to 1 organization
I20211001000252 DC Practitioner - Dermatology 4688822703 Reassigns benefits to 2 organizations
I20220608003373 VA Practitioner - Dermatology 4688822703 Reassigns benefits to 1 organization
I20240110004070 WI Practitioner - Dermatology 4688822703 Reassigns benefits to 1 organization
I20241007001171 WY Practitioner - Dermatology 4688822703 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Pittsburgh School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

469 Hwy 50
Gillette, WY 82718-9330
Phone (307) 387-9850

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions287
Skin biopsy295

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2008017205MOMDDermatology Physician
0101265983VAMDDermatology Physician
17422CWYMDDermatology Physician
01086547AINMDPediatric Gastroenterology Physician
LL29975SCMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hoskinson Health & Wellness Clinic LLC CurrentSince Oct 7, 2024 Accepting new patients
Dean Health Systems, Inc Dermatology CurrentSince Dec 27, 2023 Accepting new patients
Madeliene Elaine, LLC CurrentSince Aug 1, 2021 Accepting new patients
Hoskinson Health & Wellness Clinic LLC CurrentSince Oct 7, 2024 Accepting new patients
Dean Health Systems, Inc. CurrentSince Dec 27, 2023 Accepting new patients
Charles C Greene MD PHD PA Current Accepting new patients
Forefront Dermatology, S.C. Dermatology CurrentSince Dec 1, 2021 Accepting new patients
Charles C Greene MD PHD PA CurrentSince Jun 1, 2022 Accepting new patients
Parkview Health System Inc CurrentSince Aug 4, 2021 Accepting new patients

Locations

11512 Lake Mead Ave
Unit 531
Jacksonville, FL 32256
Phone (904) 419-2054

11512 Lake Mead Ave
Unit 536
Jacksonville, FL 32256
Phone (904) 222-6103

817 Trail Ridge Rd
Albion, IN 46701
Phone (260) 373-9590

10620 Corporate Dr
Fort Wayne, IN 46845
Phone (260) 266-8392

11109 Parkview Plaza Dr
#117
Fort Wayne, IN 46845
Phone (260) 266-6012

240 S Jefferson St
Ste B
Huntington, IN 46750
Phone (219) 259-0000

5530 Wisconsin Ave
Ste 612
Chevy Chase, MD 20815
Phone (301) 951-9292

1808 W Beltline Hwy
Madison, WI 53713
Phone (608) 250-1497

1821 S Stoughton Rd
Madison, WI 53716
Phone (608) 260-6000

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

515 22nd Ave
Monroe, WI 53566
Phone (608) 324-1000

201 W Lakeway Rd
Ste 1004
Gillette, WY 82718
Phone (307) 387-9850

201 W Lakeway Rd
Ste 200
Gillette, WY 82718
Phone (307) 387-9850

469 Wyoming Highway 50
Gillette, WY 82718
Phone (307) 387-9850

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26742/brand/1/csg/1/fhir/r4
  • Direct secure messaging: madeliene.gainers.1@26742.direct.athenahealth.com
  • Direct secure messaging: madeliene.gainers@forefrontdermatology.emadirect.md

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1679779565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 S. EUCLID AVENUE, BOX 8123",
            "address_2": "WASHINGTON UNIV MED CTR/DIV OF DERMATOLOGY",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "63110",
            "telephone_number": "314-454-8622",
            "fax_number": "314-458-5928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 S. EUCLID AVENUE",
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            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "63110",
            "telephone_number": "314-454-8622",
            "fax_number": "314-454-5928"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10620 Corporate Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468451711",
            "country_code": "US",
            "telephone_number": "260-266-8392",
            "fax_number": "260-266-8395",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "563 Neff Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Harrisonburg",
            "state": "VA",
            "postal_code": "228013765",
            "country_code": "US",
            "telephone_number": "540-434-1756",
            "fax_number": "540-434-1840",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "66 Parkway Ln Ste 101A",
            "address_purpose": "LOCATION",
            "city": "Fishersville",
            "state": "VA",
            "postal_code": "229392385",
            "country_code": "US",
            "telephone_number": "540-451-2833",
            "fax_number": "540-451-2837",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1821 S Stoughton Rd",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537162257",
            "country_code": "US",
            "telephone_number": "608-260-6000",
            "fax_number": "608-260-6556",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "469 Highway 50",
            "address_purpose": "LOCATION",
            "city": "Gillette",
            "state": "WY",
            "postal_code": "827189330",
            "country_code": "US",
            "telephone_number": "307-387-9850",
            "fax_number": "307-387-9890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAINERS",
        "first_name": "MADELIENE",
        "middle_name": "ELAINE",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-26",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MO",
            "license": "2008017205",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0101265983",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WI",
            "license": "101365",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WY",
            "license": "17422C",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IN",
            "license": "01086547A",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SC",
            "license": "LL29975",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1679779565",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Madeliene.Gainers@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "563 Neff Ave Ste A",
            "city": "Harrisonburg",
            "state": "VA",
            "country_code": "US",
            "postal_code": "228013765",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Madeliene.Gainers@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "66 Parkway Ln Ste 101A",
            "city": "Fishersville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "229392385",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mgainers500541@direct-ehr-ssmhc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "mgainers500541@direct-ehr-ssmhc.com",
            "address_1": "1821 S Stoughton Rd",
            "city": "Madison",
            "state": "WI",
            "country_code": "US",
            "postal_code": "537162257",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "1821 S Stoughton Rd",
            "city": "Madison",
            "state": "WI",
            "country_code": "US",
            "postal_code": "537162257",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.