Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JACQUELINE STEVENS MD, PHD
NPI 1932722956
Dermatology in South Burlington, VT

Active since May 26, 2020PECOS EnrolledAccepts Medicare Assignment
350 TILLEY DR STE 201, SOUTH BURLINGTON, VT 05403(802) 847-4570 Get Directions Write a Review

NPPES record last updated: July 16, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 16, 2026, May 26, 2020 (2 updates tracked since 2020).

About Jacqueline Stevens Md, Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELINE STEVENS MD, PHD (NPI 1932722956) is an individual dermatology provider in South Burlington, Vermont, licensed in Vermont (042.0019272) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS and is a graduate of University Of Virginia School Of Medicine (2020).

NPPES Registry Identity

NPI1932722956
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameJACQUELINE STEVENSCredential: MD, PHD
Location Address350 TILLEY DR STE 201South Burlington, VT 05403-4539
Mailing Address111 Colchester AveBurlington, VT 05401-1473
Sole ProprietorNo
Medical School CMSUniversity Of Virginia School Of MedicineGraduated 2020
Enumeration DateMay 26, 2020
Last NPPES UpdateJuly 16, 20262 updates tracked since enumeration
NPPES CertifiedJuly 16, 2026
NPI 1932722956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in VT · 042.0019272
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
350 TILLEY DR STE 201, South Burlington, VT 05403

Other Identifiers 1

MedicaidETLL-1004MA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jacqueline Stevens Md, Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9830514975
PECOS Enrollment IDI20240711002690
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05403 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.89 typical visit price
range $55.80 – $168.48
Typical copayment $21.47 (range $13.95 – $42.12)
Most-billed visit code 99203
Established Patient
$69.56 typical visit price
range $18.08 – $137.84
Typical copayment $17.39 (range $4.52 – $34.46)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
350 TILLEY DR STE 201
SOUTH BURLINGTON, VT 05403
Registered Nurse
350 TILLEY DR STE 201
SOUTH BURLINGTON, VT 05403
Dermatology
350 TILLEY DR STE 201
SOUTH BURLINGTON, VT 05403

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacqueline Stevens's NPI number?

The NPI number for Jacqueline Stevens is 1932722956. It was assigned to this individual provider in the NPPES registry on May 26, 2020.

Where is Jacqueline Stevens located?

Jacqueline Stevens practices at 350 Tilley Dr Ste 201, South Burlington, VT 05403. The listed phone number is (802) 847-4570.

What is Jacqueline Stevens's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Jacqueline Stevens enrolled in Medicare?

Yes. Jacqueline Stevens is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jacqueline Stevens was last updated on July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 32 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.