Individual provider Active NPI

Salena J Steade, FNP

  • Family Nurse Practitioner
  • Bennington, VT
National Provider Identifier
1902196777
Registry record updated Aug 24, 2023
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128b(4) exclusion effective May 20, 2025.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R853141 Issued in MS
Practice address
655 Main St
Bennington, VT 05201-2870
Phone
(802) 447-2343
Fax
(802) 442-4636
NPI assigned
Apr 14, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R853141 MS Primary

Addresses

Primary practice location

655 Main St
Bennington, VT 05201-2870

Mailing address

600 Blair Park Rd Ste 285
Williston, VT 05495-7586
Phone (802) 288-1140

Other practice location 1

7900 Hwy 570
Summit, MS 39666
Phone (601) 684-7771

Other identifiers 1

IdentifierTypeStateIssuer
05878298MedicaidMS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ssteade@pchpmd.medentdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Homedica of Mississippi, LLC CurrentSince May 2, 2022 Accepting new patients
Primary Care Health Partners - New York LLP CurrentSince Jul 2, 2023 Accepting new patients
Natchez After Hours Clinic, P.L.L.C. PastSince Jan 22, 2024 Accepting new patients

Locations

1240 Broad Ave
Ste B
Gulfport, MS 39501
Phone (601) 456-5100

600 Blair Park Rd
Ste 285
Williston, VT 05495
Phone (802) 288-1140

Interoperability endpoints

  • Direct secure messaging: ssteade@pchpmd.medentdirect.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.

NPI Registry JSON

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

{
    "created_epoch": "1302739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1902196777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 BLAIR PARK RD STE 285",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054957586",
            "telephone_number": "802-288-1140",
            "fax_number": "802-288-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 MAIN ST",
            "city": "BENNINGTON",
            "state": "VT",
            "postal_code": "052012870",
            "telephone_number": "802-447-2343",
            "fax_number": "802-442-4636"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7900 Hwy 570",
            "address_purpose": "LOCATION",
            "city": "Summit",
            "state": "MS",
            "postal_code": "39666",
            "country_code": "US",
            "telephone_number": "601-684-7771",
            "fax_number": "601-465-0554",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEADE",
        "first_name": "SALENA",
        "middle_name": "J",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-14",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R853141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05878298",
            "state": "MS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ssteade@pchpmd.medentdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "655 Main St",
            "city": "Bennington",
            "state": "VT",
            "country_code": "US",
            "postal_code": "052012870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bennington, VT

Sources for this page

Verify at the official NPI Registry.