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

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 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Clearchoicemd, PLLC (85 clinicians)

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 Hospital · Barre, VT · CCN 470001

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 IDStateProvider typePAC IDDetails
I20150713000154 VT Practitioner - Nurse Practitioner 4981916434 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clearchoicemd, PLLC Current
since Dec 13, 2021
Accepting new patients
Clearchoicemd, PLLC Current
since Dec 13, 2021
Accepting new patients
Central Vermont Medical Center Inc Current
since May 4, 2015
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1024467MedicaidVT

Other providers in Barre, VT

All providers in Barre, VT · Nurse Practitioner in Vermont

Sources for this page

Verify at the official NPI Registry.