Jeremy C McWhorter, PA-C
Individual provider Active NPI Physician Assistant · Windsor, VT
NPI 1003261439 · NPPES record last updated Apr 9, 2022
Key facts
- NPI
- 1003261439
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 055.0031298 (VT)
- Practice address
- 289 County Rd
Windsor, VT 05089-9000 - Phone
- (802) 674-7220
- Fax
- (802) 674-7006
- NPI assigned
- May 4, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 22
Hospital & facility affiliations 11
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Dartmouth-Hitchcock Clinic
Alice Peck Day Memorial Hospital
Windsor Hospital Corporation
Practice addresses (Care Compare)
1 Medical Ctr Dr
Lebanon, NH 03756-1000
Phone (603) 650-5000
10 Alice Peck Day Dr
Lebanon, NH 03766-2900
Phone (603) 448-3121
289 County Rd
Windsor, VT 05089-9000
Hospital & facility affiliations
- Mary Hitchcock Memorial Hospital
- Alice Peck Day Memorial Hospital
- Mt Ascutney Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in VT, NH
- 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 |
|---|---|---|---|---|
| I20161021001612 | VT | Practitioner - Physician Assistant | 7416044938 | Reassigns benefits to 6 organizations |
| I20220422001185 | NH | Practitioner - Physician Assistant | 7416044938 | Reassigns benefits to 6 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1844 | NH | MD | Clinical Social Worker |
| 055.0031298 | VT | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alice Peck Day Memorial Hospital | Current |
Accepting new patients | |
| Springfield Medical Care Systems Inc | Current |
Accepting new patients | |
| Alice Peck Day Memorial Hospital | Current | Accepting new patients | |
| Dartmouth-Hitchcock Clinic | Current |
Accepting new patients | |
| Windsor Hospital Corporation | Current |
Accepting new patients | |
| Windsor Hospital Corporation | Current |
Accepting new patients | |
| Mary Hitchcock Memorial Hospital | Current |
Accepting new patients | |
| Alice Peck Day Memorial Hospital | Current |
Accepting new patients | |
| Windsor Hospital Corporation | Current |
Accepting new patients | |
| Windsor Hospital Corporation | Current |
Accepting new patients | |
| Carlos G Otis Health Care Center Inc | Current |
Accepting new patients | |
| Carlos G. Otis Health Care Center Inc. | Current |
Accepting new patients | |
| The New London Hospital Association, Inc. | Current |
Accepting new patients | |
| The New London Hospital Association, Inc. | Past | Accepting new patients |
Locations
5 Alice Peck Day Dr
Lebanon, NH 03766
Phone (603) 448-3996
10 Alice Peck Day Dr
Lebanon, NH 03766
Phone (603) 448-7440
1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922
273 County Rd
New London, NH 03257
Phone (603) 526-5215
1 Hospital Ct
Bellows Falls, VT 05101
Phone (802) 463-1292
25 Ridgewood Rd
Springfield, VT 05156
Phone (780) 281-9593
289 County Rd
Windsor, VT 05089
Phone (802) 674-7220
Interoperability endpoints
- https://api.platform.athenahealth.com/24182/brand/1/csg/1/fhir/r4
- https://edhwebportal.hitchcock.org/FHIRProxy/api/FHIR/R4/
- jmcwhorter167503@direct.dartmouth-hitchcock.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1844 | NH | |
| Physician Assistant | 363A00000X | 055.0031298 | VT | Yes |
Addresses
Primary practice location
289 County Rd
Windsor, VT 05089-9000
Mailing address
77 Sunset Strip Rd
Cornish, NH 03745-4713
Phone (860) 608-0688
Other practice location 1
185 Grafton Rd
Townshend, VT 05353-8820
Phone (802) 365-7357
Other practice location 2
1 Medical Center Dr
Lebanon, NH 03756-0001
Phone (603) 650-7000
Other providers in Windsor, VT
- Maxi Green Inc
- Lauren D McClure
- Ryan Russell McCool
- Nancy M McCullough
- Karen D McGinty
- Caitlin Miller
- Emily Anne Miller
- Letha E Mills
- Joleen Mitaly
- Mackenzie Ryan Monahan
All providers in Windsor, VT · Physician Assistant in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 9, 2022. 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.