Individual provider Active NPI

Rebecca M Jones, MD

  • Dermatology Physician
  • Brattleboro, VT
National Provider Identifier
1861432841
Registry record updated Jan 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
0420010026 Issued in VT
Practice address
138 Elliot St
Brattleboro, VT 05301-3027
Phone
(802) 251-0958
Fax
(802) 251-6023
NPI assigned
Jun 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 0420010026 VT Primary
Dermatology Physician 207N00000X 152559 MA

Addresses

Primary practice location

138 Elliot St
Brattleboro, VT 05301-3027

Mailing address

138 Elliot St
Suite One
Brattleboro, VT 05301-3018
Phone (802) 251-0958

Other identifiers 4

IdentifierTypeStateIssuer
01Y003121VT01OtherNHBC/BS NH
29022OtherVTBC/BS VT
OVN2257MedicaidVT
JOJ17545OtherMABC/BS MA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, VT2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20040419001420 MA Practitioner - Dermatology 8921997834 Reassigns benefits to 1 organization
I20061115000218 VT Practitioner - Dermatology 8921997834 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Massachusetts Medical School, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

138 Elliot St
Suite 1
Brattleboro, VT 05301-3018
Phone (802) 251-0958

181 State Rd
Whately, MA 01093
Phone (413) 397-8919

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision89
Removal of skin lesions581
Skin biopsy513

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0420010026VTMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rebecca M Jones, MD, LLC Dermatology CurrentSince Oct 1, 2006 Accepting new patients
Integrated Dermatology of Chesterfield LLC Dermatology Past Accepting new patients
Dermatology Associates of the Northeast, PC Dermatology Past Accepting new patients
New England Dermatology, P.C. Dermatology Past Accepting new patients

Locations

138 Elliot St
Ste 1
Brattleboro, VT 05301
Phone (802) 251-0958

138 Elliot St
Brattleboro, VT 05301
Phone (800) 994-0504

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421020800000",
    "number": "1861432841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 ELLIOT ST",
            "address_2": "SUITE ONE",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "053013018",
            "telephone_number": "802-251-0958",
            "fax_number": "802-251-6023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 ELLIOT ST",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "053013027",
            "telephone_number": "802-251-0958",
            "fax_number": "802-251-6023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "REBECCA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2015-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VT",
            "license": "0420010026",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "152559",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS NH",
            "identifier": "01Y003121VT01",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS VT",
            "identifier": "29022",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OVN2257",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS MA",
            "identifier": "JOJ17545",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brattleboro, VT

Sources for this page

Verify at the official NPI Registry.