Marissa Jane Patrick, APRN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

101.0116285 Issued in VT

Practice address

14 N Main St
Ste 4002
Barre, VT 05641-4197

Phone

(802) 479-2546

Fax

(802) 479-1346

NPI assigned

Feb 23, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Marissa Jane Hurlburt Former name

Medicare fee-for-service enrollment

Enrolled in VT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Central Vermont Medical Center IncGroup PAC ID 9335138817, 233 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Central Vermont Home Health & Hospice Home health agency, Barre, VT, CCN 477003
• Bayada Home Health Care, Inc. Home health agency, Rutland, VT, CCN 477019
• Central Vermont Medical Center Hospital, Barre, VT, CCN 470001
• Univ. of Vermont - Fletcher Allen Health Care Hospital, Burlington, VT, CCN 470003

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mpatrick235877@direct.uvmhealth.org

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.

• Central Vermont Medical Center Inc

  • Family Medicine Physician
  • Berlin, VT
  • NPI 1023028784
  Medicare reassignment Care Compare group NPD

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

• Bayada Home Health Care, Inc.

  • Home Health Agency
  • White River Junction, VT
  • NPI 1063963148
  Care Compare affiliation
• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Williston, VT
  • NPI 1114229937
  Care Compare affiliation
• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Rutland, VT
  • NPI 1861794687
  Care Compare affiliation
• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Brattleboro, VT
  • NPI 1891097614
  Care Compare affiliation
• Central Vermont Home Health & Hospice, Inc

  • Home Health Agency
  • Barre, VT
  • NPI 1265440648
  Care Compare affiliation
• Central Vermont Medical Center Inc

  • General Acute Care Hospital
  • Berlin, VT
  • NPI 1508845637
  Care Compare affiliation
• University of Vermont Medical Center Inc

  • General Acute Care Hospital
  • Burlington, VT
  • NPI 1568419976
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1393113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446076800000",
    "number": "1033534334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 547",
            "address_2": "ATT: CMVC FINANCE DEPT",
            "city": "BARRE",
            "state": "VT",
            "postal_code": "056410547",
            "telephone_number": "802-479-2546",
            "fax_number": "802-479-1346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 N MAIN ST",
            "address_2": "STE 4002",
            "city": "BARRE",
            "state": "VT",
            "postal_code": "056414197",
            "telephone_number": "802-479-2546",
            "fax_number": "802-479-1346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRICK",
        "first_name": "MARISSA",
        "middle_name": "JANE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-23",
        "last_updated": "2015-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VT",
            "license": "101.0116285",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "VT",
            "license": "101.0116285",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARISSA",
            "last_name": "HURLBURT",
            "middle_name": "JANE",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Joslin Parker, MA
• Louise T. Parmelee, BCBA
• Lilly K Partlow, BCBA
• Sonia Parton, R.PH.
• Brian Paton, LCMHC
• Peak View Behavioral Services
• Nicholas M. Peloquin, AS
• Sierra Pembroke, MS
• People'S Health & Wellness Clinic
• Kara L. Peterson, BS

• Adult Health Nurse Practitioner in Barre, VT
• Providers in Barre, VT by specialty
• Adult Health Nurse Practitioner in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.