NPIMap

Individual provider Active NPI

Jessica Alice Rouse, M.D.

  • Family Medicine Physician
  • Middlebury, VT
National Provider Identifier
1063546752
Registry record updated Jun 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0420011761 Issued in VT
Practice address
5 Park St Ste 3a
Middlebury, VT 05753-1169
Phone
(802) 388-7185
Fax
(802) 388-3445
NPI assigned
Mar 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2024

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 0420011761 VT Primary

Addresses

Primary practice location

5 Park St Ste 3a
Middlebury, VT 05753-1169

Mailing address

5 Park Street
Star Mill Suite 3a
Middlebury, VT 05753-1169
Phone (802) 382-9491

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
I20090923000257 VT Practitioner - Family Practice 2365598927 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Vermont College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Village Health, Inc.Group PAC ID 8224463229, 2 clinicians

Practice addresses (Care Compare)

5 Park St
Suite 3
Middlebury, VT 05753-1169
Phone (802) 382-9491

Hospital & facility affiliations

  • Addison County Home Health & Hospice, Inc. Home health agency, Middlebury, VT, CCN 477014
  • Bayada Home Health Care, Inc. Home health agency, Rutland, VT, CCN 477019
  • Addison County HHA Hospice Hospice, Middlebury, VT, CCN 471508
  • Porter Hospital Inc Hospital, Middlebury, VT, CCN 471307
  • Univ. of Vermont - Fletcher Allen Health Care Hospital, Burlington, VT, CCN 470003
  • Rutland Regional Medical Center Hospital, Rutland, VT, CCN 470005

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0420011761VTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Village Health, Inc. Family Medicine CurrentSince Nov 1, 2019 Accepting new patients

Locations

5 Park St
Ste 3
Middlebury, VT 05753
Phone (802) 382-9491

5 Park St
Ste 3A
Middlebury, VT 05753
Phone (802) 382-9491

Interoperability endpoints

  • Direct secure messaging: jessicarouse@direct.summit-healthcare.org
  • Direct secure messaging: jessicarouse@villagehealthvt.medentdirect.com
  • Direct secure messaging: jessica.rouse.1@20196.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/20196/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1063546752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 PARK STREET",
            "address_2": "STAR MILL SUITE 3A",
            "city": "MIDDLEBURY",
            "state": "VT",
            "postal_code": "057531169",
            "telephone_number": "802-382-9491",
            "fax_number": "855-809-2105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 PARK ST STE 3A",
            "city": "MIDDLEBURY",
            "state": "VT",
            "postal_code": "057531169",
            "telephone_number": "802-388-7185",
            "fax_number": "802-388-3445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUSE",
        "first_name": "JESSICA",
        "middle_name": "ALICE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2024-06-28",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VT",
            "license": "0420011761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middlebury, VT

Sources for this page

Verify at the official NPI Registry.