Active NPI
Madeliene Elaine Gainers, MD
- Dermatology Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 01086547A
- 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, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679779565 | Medicaid | WI |
Electronic endpoints 4
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, WY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 6
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
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 287 |
| Skin biopsy | 295 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2008017205 | MO | MD | Dermatology Physician |
| 0101265983 | VA | MD | Dermatology Physician |
| 17422C | WY | MD | Dermatology Physician |
| 01086547A | IN | MD | Pediatric Gastroenterology Physician |
| LL29975 | SC | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hoskinson Health & Wellness Clinic LLC | Current | Accepting new patients | |
| Dean Health Systems, Inc | Dermatology | Current | Accepting new patients |
| Madeliene Elaine, LLC | Current | Accepting new patients | |
| Hoskinson Health & Wellness Clinic LLC | Current | Accepting new patients | |
| Dean Health Systems, Inc. | Current | Accepting new patients | |
| Charles C Greene MD PHD PA | Current | Accepting new patients | |
| Forefront Dermatology, S.C. | Dermatology | Current | Accepting new patients |
| Charles C Greene MD PHD PA | Current | Accepting new patients | |
| Parkview Health System Inc | Current | 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
- https://api.platform.athenahealth.com/26742/brand/1/csg/1/fhir/r4
- madeliene.gainers.1@26742.direct.athenahealth.com
- 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.
-
- Multi-Specialty Clinic/Center
- Gillette, WY
- NPI 1376280750
-
dba Jacksonville ENT Surgery Center
- Otolaryngology Physician
- Jacksonville, FL
- NPI 1457600769
-
dba SSM Health Dean Medical Group
- Allergy & Immunology Physician
- Madison, WI
- NPI 1053358846
Dermatology
-
dba Parkview Physicians Group
- Family Medicine Physician
- Fort Wayne, IN
- NPI 1932130952
-
dba Jacksonville ENT Surgery Center
- Otolaryngology Physician
- Jacksonville, FL
- NPI 1609125913
-
dba SSM Health Davis Duehr Dean Eye Care - Portage
- Durable Medical Equipment & Medical Supplies
- Portage, WI
- NPI 1427085679
-
- Dermatology Physician
- Bethesda, MD
- NPI 1518480136
-
dba Hoskinson Wound Care
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Gillette, WY
- NPI 1003628611
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",
"address_2": "WASHINGTON UNIV MED CTR/DIV OF DERMATOLOGY",
"city": "ST LOUIS",
"state": "MO",
"postal_code": "63110",
"telephone_number": "314-454-8622",
"fax_number": "314-454-5928"
}
],
"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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; 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.