Eliza W Anti, N.P.
Individual provider Active NPI Nurse Practitioner · Barre, VT
NPI 1003205915 · NPPES record last updated Jul 21, 2015
Key facts
- NPI
- 1003205915
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 101.0109654 (VT)
- Practice address
- 225 S Main St
Barre, VT 05641-4881 - Phone
- (802) 479-3302
- Fax
- (802) 225-5720
- NPI assigned
- Jan 15, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Clearchoicemd, PLLC
Practice addresses (Care Compare)
798 US Route 302
Unit 2
Barre, VT 05641-2305
Phone (603) 526-4635
Hospital & facility affiliations
- Central Vermont Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150713000154 | VT | Practitioner - Nurse Practitioner | 4981916434 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clearchoicemd, PLLC | Current |
Accepting new patients | |
| Clearchoicemd, PLLC | Current |
Accepting new patients | |
| Central Vermont Medical Center Inc | Current |
Accepting new patients | |
| Clearchoicemd Primary Care PLLC | Past | Accepting new patients |
Locations
798 US Route 302
#2
Barre, VT 05641
Phone (802) 744-0138
225 S Main St
Barre, VT 05641
Phone (802) 476-9242
130 Fisher Rd
#C
Berlin, VT 05602
Phone (802) 225-5400
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 101.0109654 | VT | Yes |
Addresses
Primary practice location
225 S Main St
Barre, VT 05641-4881
Mailing address
PO Box 547
Att: CVMC Finance Department
Barre, VT 05641-0547
Phone (802) 479-3302
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1024467 | Medicaid | VT |
Other providers in Barre, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.