Individual provider Active NPI

Shayna Colleen Rivard, MD

  • MOHS-Micrographic Surgery Physician
  • Wolfeboro, NH
National Provider Identifier
1942595228
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
22256 Issued in NH
Practice address
55 Mill St
Wolfeboro, NH 03894-4328
Phone
(603) 569-3376
Fax
(603) 569-5046
NPI assigned
Jun 14, 2011
Reactivated
Mar 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X 22256 NH Primary
Dermatology Physician 207N00000X 22256 NH

Addresses

Primary practice location

55 Mill St
Wolfeboro, NH 03894-4328

Mailing address

526 Main St Ste 302
Acton, MA 01720-3301
Phone (978) 371-7010

Other practice location 1

120 Washington St Unit 202
Rochester, NH 03839-5535
Phone (603) 255-8920

Other practice location 2

2 Pillsbury St Ste 501
Concord, NH 03301-3576
Phone (603) 333-2908

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
I20230601002299 NH Practitioner - Dermatology 8628331162 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Vermont College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adult and Pediatric Dermatology PCGroup PAC ID 7012988306, 38 clinicians

Practice addresses (Care Compare)

2 Pillsbury St
Suite 501
Concord, NH 03301-3576
Phone (603) 333-2908

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision108
Removal of skin lesions71
Removal of skin cancer458
Removal or shaving of skin growth1-10
Skin biopsy33

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22256NHMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adult & Pediatric Dermatology, P.C. Dermatology CurrentSince Jul 13, 2023 Accepting new patients
Apderm Massachusetts PC Dermatology Past Accepting new patients
Ap Derm New Hampshire PC Dermatology Past Accepting new patients

Locations

2 Pillsbury St
Ste 501
Concord, NH 03301
Phone (603) 333-2908

87 McGregor St
Ste 2100
Manchester, NH 03102
Phone (603) 626-7546

120 Washington St
Unit 202
Rochester, NH 03839
Phone (603) 255-8920

55 Mill St
Wolfeboro, NH 03894
Phone (603) 569-3376

Interoperability endpoints

  • Direct secure messaging: srivard@apderm.emadirect.md

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.

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": "1308009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776988800000",
    "number": "1942595228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 MAIN ST STE 302",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017203301",
            "telephone_number": "978-371-7010",
            "fax_number": "978-371-0522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 MILL ST",
            "city": "WOLFEBORO",
            "state": "NH",
            "postal_code": "038944328",
            "telephone_number": "603-569-3376",
            "fax_number": "603-569-5046"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Washington St Unit 202",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NH",
            "postal_code": "038395535",
            "country_code": "US",
            "telephone_number": "603-255-8920",
            "fax_number": "603-403-1108",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Pillsbury St Ste 501",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NH",
            "postal_code": "033013576",
            "country_code": "US",
            "telephone_number": "603-333-2908",
            "fax_number": "603-715-8987",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVARD",
        "first_name": "SHAYNA",
        "middle_name": "COLLEEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-14",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "deactivation_date": "2020-02-25",
        "reactivation_date": "2020-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NH",
            "license": "22256",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NH",
            "license": "22256",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wolfeboro, NH

Sources for this page

Verify at the official NPI Registry.