NPIMap

Individual provider Active NPI

Sarah Hart Dwyer, APRN

  • Family Medicine Physician
  • Bomoseen, VT
National Provider Identifier
1003511130
Registry record updated Aug 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
101.0136083 Issued in VT
Practice address
275 Route 30 N
Bomoseen, VT 05732-9647
Phone
(802) 468-5641
NPI assigned
Mar 30, 2023
Last updated
Aug 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 101.0136083 VT Primary

Addresses

Primary practice location

275 Route 30 N
Bomoseen, VT 05732-9647

Mailing address

275 VT 30 N
Bomoseen, VT 05732-9647
Phone (802) 468-5641

Other practice location 1

154 Bellevue Ave
Rutland, VT 05701-2515
Phone (802) 310-6843

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230412001410 VT Practitioner - Nurse Practitioner 4981079522 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health Centers of the Rutland Region IncGroup PAC ID 2961467386, shared by 9 NPIs, 103 clinicians

Practice addresses (Care Compare)

275 Route 30 N
Bomoseen, VT 05732-9647
Phone (802) 468-5641

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Centers of the Rutland Region, Inc. Family Medicine CurrentSince May 15, 2023 Accepting new patients
Community Health Centers of the Rutland Region, Inc. Family Medicine CurrentSince May 15, 2023 Accepting new patients
Community Health Centers of the Rutland Region, Inc. Family Medicine CurrentSince May 15, 2023 Accepting new patients
Community Health Centers of the Rutland Region Inc Family Medicine Current Accepting new patients
Community Health Centers of the Rutland Region Inc Family Medicine CurrentSince May 15, 2023 Accepting new patients
Community Health Centers of the Rutland Region, Inc. CurrentSince May 15, 2023 Accepting new patients
Community Health Centers of the Rutland Region, Inc Family Medicine CurrentSince May 15, 2023 Accepting new patients

Locations

275 VT 30 N
Bomoseen, VT 05732
Phone (802) 468-5641

420 Grove St
Brandon, VT 05733
Phone (802) 247-6305

1 General Wing Rd
Rutland, VT 05701
Phone (802) 773-9131

71 Allen St
Ste 402
Rutland, VT 05701
Phone (800) 468-9118

2987 Vt Route 22A
Shoreham, VT 05770
Phone (802) 897-7000

278 Vt Route 149
West Pawlet, VT 05775
Phone (800) 468-9118

Interoperability endpoints

  • Direct secure messaging: sdwyer@chcrr.medentdirect.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1680134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692316800000",
    "number": "1003511130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 VT 30 N",
            "city": "BOMOSEEN",
            "state": "VT",
            "postal_code": "057329647",
            "telephone_number": "802-468-5641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 ROUTE 30 N",
            "city": "BOMOSEEN",
            "state": "VT",
            "postal_code": "057329647",
            "telephone_number": "802-468-5641"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "154 Bellevue Ave",
            "address_purpose": "LOCATION",
            "city": "Rutland",
            "state": "VT",
            "postal_code": "057012515",
            "country_code": "US",
            "telephone_number": "802-310-6843",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DWYER",
        "first_name": "SARAH",
        "middle_name": "HART",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-30",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VT",
            "license": "101.0136083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bomoseen, VT

Sources for this page

Verify at the official NPI Registry.