Individual provider Active NPI

Stephanie Maurais, DPM

  • Foot & Ankle Surgery Podiatrist
  • Winston Salem, NC
National Provider Identifier
1871895912
Registry record updated Dec 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
807 Issued in NC
Practice address
3641 Westgate Center Cir Ste a
Winston Salem, NC 27103-2936
Phone
(336) 277-6550
NPI assigned
Nov 22, 2010
Last updated
Dec 29, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N006392 NY
Foot & Ankle Surgery Podiatrist 213ES0103X 807 NC Primary

Addresses

Primary practice location

3641 Westgate Center Cir Ste a
Winston Salem, NC 27103-2936

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address stephanie.mauraisdpm.p1@direct.crystalrun.nextgenshare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220216000332 AL Practitioner - Podiatry 9830364231
I20230104002292 NC Practitioner - Podiatry 9830364231 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians

Practice addresses (Care Compare)

3641 Westgate Ctr Cir a
Winston Salem, NC 27103-2936
Phone (336) 774-3141

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue17
Removal of nail tissue137
Removal or shaving of skin growth46
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
361ALMDMarriage & Family Therapist
807NCMDMarriage & Family Therapist
N006392NYMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Forsyth Memorial Hospital, Inc CurrentSince Feb 1, 2023 Accepting new patients
Forsyth Memorial Hospital, Inc. Current Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Dec 1, 2022 Accepting new patients
Novant Health Medical Group, LLC Foot & Ankle Surgery CurrentSince Dec 1, 2022 Accepting new patients
Forsyth Memorial Hospital, Inc. CurrentSince Feb 1, 2023 Accepting new patients
Integrated Diagnostic Imaging & Cardiology of Staten Island P.C. Past Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients
Comprehensive Foot and Ankle Care Past Accepting new patients

Locations

10810 Mallard Creek Rd
Charlotte, NC 28262
Phone (704) 510-8000

4741 Randolph Rd
#100
Charlotte, NC 28211
Phone (704) 365-6730

6301 Stadium Dr
Clemmons, NC 27012
Phone (336) 766-6473

1710 Kernersville Medical Pkwy
Ste 220
Kernersville, NC 27284
Phone (336) 564-4035

291 Broad St
Kernersville, NC 27284
Phone (336) 993-8181

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

211 Old Lexington Rd
Thomasville, NC 27360
Phone (336) 472-1191

100 Robinhood Medical Plz
Winston Salem, NC 27106
Phone (336) 718-0560

250 Charlois Blvd
Winston Salem, NC 27103
Phone (336) 718-1000

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

3641 Westgate Center Cir
#A
Winston Salem, NC 27103
Phone (336) 774-3141

Interoperability endpoints

  • Direct secure messaging: smaurais1093681@direct.novanthealth.org
  • Direct secure messaging: smaurais843105@nychhc.direct-ci.com
  • Direct secure messaging: stephanie.maurais@direct.hvhc.org

Organizations & group practices 9

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": "1290384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672272000000",
    "number": "1871895912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3641 WESTGATE CENTER CIR STE A",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271032936",
            "telephone_number": "336-277-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAURAIS",
        "first_name": "STEPHANIE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-22",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N006392",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NC",
            "license": "807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stephanie.mauraisdpm.p1@direct.crystalrun.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "95 Crystal Run Rd",
            "city": "Middletown",
            "state": "NY",
            "country_code": "US",
            "postal_code": "109417001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.