Individual provider Active NPI

Victoria Bates, PA-C

  • Physician Assistant
  • Seymour, IN
National Provider Identifier
1710316062
Registry record updated Feb 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10001819A Issued in IN
Practice address
303 S Walnut St
Seymour, IN 47274-2368
Phone
(812) 358-7705
Fax
(888) 254-0293
NPI assigned
Nov 7, 2013
Last updated
Feb 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 10001819A IN Primary

Addresses

Primary practice location

303 S Walnut St
Seymour, IN 47274-2368

Mailing address

801 York St
Manitowoc, WI 54220-4630
Phone (866) 630-9882

Other practice location 1

244 Westwood Blvd
Columbus, IN 47201-5687
Phone (812) 669-0141

Other practice location 2

911 N Shelby St
Salem, IN 47167-2304
Phone (812) 883-8527

Other practice location 3

1428 N Gardner St
Scottsburg, IN 47170-8720
Phone (812) 752-3512

Other practice location 4

1263 Hospital Dr NW Ste 100
Corydon, IN 47112-2173
Phone (812) 783-2054

Other names 1

  • Victoria Hollinger Former name

Electronic endpoints 5

TypeEndpointUseAffiliation
Direct Messaging Address victoria.hollinger.p1@direct.forefrontderm.nextgenshare.com
Direct Messaging Address victoria.hollinger.p1@direct.forefrontderm.nextgenshare.com
Direct Messaging Address victoria.hollinger.p1@direct.forefrontderm.nextgenshare.com
Direct Messaging Address victoria.hollinger.p1@direct.forefrontderm.nextgenshare.com
Direct Messaging Address victoria.hollinger.p1@direct.forefrontderm.nextgenshare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210326000385 NH Practitioner - Physician Assistant 7416278544 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

155 Borthwick Ave
Portsmouth, NH 03801-7156
Phone (978) 691-5690

23 Hampton Rd
Exeter, NH 03833-4807
Phone (978) 691-5690

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.63 of 100Reported as group
Quality
84.27
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Dermatology Associates, PC CurrentSince Mar 18, 2021 Accepting new patients
Neda at North Shore PC CurrentSince Mar 18, 2021 Accepting new patients
Major Hospital Past Accepting new patients

Locations

138 Conant St
Beverly, MA 01915
Phone (978) 927-5254

51 Webb Pl
Ste 240
Dover, NH 03820

23 Hampton Rd
Exeter, NH 03833
Phone (603) 772-4684

155 Borthwick Ave
Ste 201
Portsmouth, NH 03801
Phone (504) 914-5254

155 Borthwick Ave
Ste 201W
Portsmouth, NH 03801
Phone (603) 433-9575

155 Borthwick Ave
Ste 201WEST
Portsmouth, NH 03801

302 Innovation Dr
Ste 400
Franklin, TN 37067

Interoperability endpoints

  • Direct secure messaging: vbates@nedermatology.emadirect.md
  • Direct secure messaging: victoria.bates@pd.eclinicaldirectplus.com

Organizations & group practices 3

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 1

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": "1383782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613433600000",
    "number": "1710316062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "866-630-9882",
            "fax_number": "920-682-5810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 S WALNUT ST",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "472742368",
            "telephone_number": "812-358-7705",
            "fax_number": "888-254-0293"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "244 Westwood Blvd",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "IN",
            "postal_code": "472015687",
            "country_code": "US",
            "telephone_number": "812-669-0141",
            "fax_number": "888-358-7705",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "911 N Shelby St",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "IN",
            "postal_code": "471672304",
            "country_code": "US",
            "telephone_number": "812-883-8527",
            "fax_number": "812-883-8574",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1428 N Gardner St",
            "address_purpose": "LOCATION",
            "city": "Scottsburg",
            "state": "IN",
            "postal_code": "471708720",
            "country_code": "US",
            "telephone_number": "812-752-3512",
            "fax_number": "812-752-8593",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1263 Hospital Dr NW Ste 100",
            "address_purpose": "LOCATION",
            "city": "Corydon",
            "state": "IN",
            "postal_code": "471122173",
            "country_code": "US",
            "telephone_number": "812-783-2054",
            "fax_number": "812-733-7838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BATES",
        "first_name": "VICTORIA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-07",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10001819A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "victoria.hollinger.p1@direct.forefrontderm.nextgenshare.com",
            "affiliation": "N",
            "address_1": "1428 N Gardner St",
            "city": "Scottsburg",
            "state": "IN",
            "country_code": "US",
            "postal_code": "471708720",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "victoria.hollinger.p1@direct.forefrontderm.nextgenshare.com",
            "affiliation": "N",
            "address_1": "911 N Shelby St",
            "city": "Salem",
            "state": "IN",
            "country_code": "US",
            "postal_code": "471672304",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "victoria.hollinger.p1@direct.forefrontderm.nextgenshare.com",
            "affiliation": "N",
            "address_1": "1263 Hospital Dr NW Ste 100",
            "city": "Corydon",
            "state": "IN",
            "country_code": "US",
            "postal_code": "471122173",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "victoria.hollinger.p1@direct.forefrontderm.nextgenshare.com",
            "affiliation": "N",
            "address_1": "244 Westwood Blvd",
            "city": "Columbus",
            "state": "IN",
            "country_code": "US",
            "postal_code": "472015687",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "victoria.hollinger.p1@direct.forefrontderm.nextgenshare.com",
            "affiliation": "N",
            "address_1": "303 S Walnut St",
            "city": "Seymour",
            "state": "IN",
            "country_code": "US",
            "postal_code": "472742368",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "VICTORIA",
            "last_name": "HOLLINGER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Seymour, IN

Sources for this page

Verify at the official NPI Registry.