Individual provider Active NPI

Stephanie Aamodt St Pierre, MD

  • Dermatology Physician
  • North Andover, MA
National Provider Identifier
1891007035
Registry record updated Oct 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
258836 Issued in MA
Practice address
538 Turnpike St
North Andover, MA 01845-5812
Phone
(978) 683-9201
NPI assigned
Jul 3, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2017

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 258836 MA Primary

Addresses

Primary practice location

538 Turnpike St
North Andover, MA 01845-5812

Mailing address

280 Merrimack St Ste 311
Lawrence, MA 01843-1779
Phone (978) 691-5690

Other names 1

  • Stephanie Aamodt Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20141210001266 MA Practitioner - Dermatology 3870815459 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Dermatology Associates PCGroup PAC ID 3072403799, 84 clinicians

Practice addresses (Care Compare)

538 Turnpike St
North Andover, MA 01845-5812
Phone (978) 691-5690

Merit-based Incentive Payment System (MIPS)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision132
Removal of tissue1-10
Removal of skin lesions1332
Removal of nail tissue1-10
Removal or shaving of skin growth155
Skin biopsy346

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
258836MAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neda at North Shore PC Dermatology CurrentSince Sep 24, 2014 Accepting new patients
Northeast Dermatology Associates, PC CurrentSince Sep 24, 2014 Accepting new patients
Nedab LLC Dermatology Past Accepting new patients

Locations

62 Brown St
Ste 304C
Haverhill, MA 01830
Phone (603) 552-3309

62 Brown St
Ste 304
Haverhill, MA 01830
Phone (978) 373-1591

280 Merrimack St
Ste 311
Lawrence, MA 01843
Phone (925) 819-6228

538 Turnpike St
North Andover, MA 01845
Phone (978) 683-9201

Interoperability endpoints

  • Direct secure messaging: stephanie.stpierre@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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1278115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508284800000",
    "number": "1891007035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 MERRIMACK ST STE 311",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018431779",
            "telephone_number": "978-691-5690",
            "fax_number": "978-691-5693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "538 TURNPIKE ST",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018455812",
            "telephone_number": "978-683-9201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST PIERRE",
        "first_name": "STEPHANIE",
        "middle_name": "AAMODT",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-03",
        "last_updated": "2017-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "258836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "AAMODT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in North Andover, MA

Sources for this page

Verify at the official NPI Registry.