Individual provider Active NPI

Jennifer Ann Stead, D.O.

  • Dermatology Physician
  • Bedford, NH
National Provider Identifier
1831375872
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
15328 Issued in NH
Practice address
176 S River Rd
Bedford, NH 03110-7061
Phone
(603) 942-2003
Fax
(603) 403-7809
NPI assigned
Jan 19, 2008
Last updated
Jan 31, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 15328 NH Primary

Addresses

Primary practice location

176 S River Rd
Bedford, NH 03110-7061

Mailing address

111 New Hampshire Ave Ste 2
Portsmouth, NH 03801-2864
Phone (802) 909-2053

Other practice location 1

23 Portsmouth Ave
Stratham, NH 03885-2520
Phone (603) 942-2171

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111103000613 NH Practitioner - Dermatology 7618140807 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optima Dermatology LLCGroup PAC ID 3971561648, 74 clinicians

Practice addresses (Care Compare)

176 S River Rd
Bedford, NH 03110-7061
Phone (603) 942-2003

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.65 of 100Reported as group
Promoting interoperability
89
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision68
Removal of skin lesions1469
Removal of nail tissue1-10
Removal or shaving of skin growth113
Skin biopsy313

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Optima Dermatology LLC Dermatology CurrentSince Sep 4, 2023 Accepting new patients
Northeast Dermatology Associates, PC Past Accepting new patients
Advanced Dermatology and Skin Cancer Center Past Accepting new patients
Family Physical Therapy Services, Inc. PastSince Sep 4, 2023 Accepting new patients

Locations

176 S River Rd
Bedford, NH 03110
Phone (603) 644-8334

1 Hampton Rd
Ste A306
Exeter, NH 03833
Phone (603) 294-4635

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

75 Gilcreast Rd
Unit 100
Londonderry, NH 03053

721 Chestnut St
Manchester, NH 03104
Phone (603) 668-0858

111 New Hampshire Ave
Ste 2
Portsmouth, NH 03801
Phone (603) 319-4490

23 Portsmouth Ave
Stratham, NH 03885
Phone (603) 942-2171

987 Boardman Canfield Rd
Youngstown, OH 44512
Phone (330) 271-8589

Interoperability endpoints

  • Direct secure messaging: jstead@optima.emadirect.md

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 3

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": "1200700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1831375872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 NEW HAMPSHIRE AVE STE 2",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038012864",
            "telephone_number": "802-909-2053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 S RIVER RD",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031107061",
            "telephone_number": "603-942-2003",
            "fax_number": "603-403-7809"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23 Portsmouth Ave",
            "address_purpose": "LOCATION",
            "city": "Stratham",
            "state": "NH",
            "postal_code": "038852520",
            "country_code": "US",
            "telephone_number": "603-942-2171",
            "fax_number": "603-371-3104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEAD",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-19",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NH",
            "license": "15328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, NH

Sources for this page

Verify at the official NPI Registry.