Individual provider Active NPI

Amy M Fox, APRN

  • Nurse Practitioner
  • Colchester, VT
National Provider Identifier
1063828036
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1010105460 Issued in VT
Practice address
792 College Pkwy
Suite 207
Colchester, VT 05446-3052
Phone
(802) 655-3400
Fax
(802) 655-9170
NPI assigned
Jul 10, 2014
Last updated
May 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1010105460 VT Primary

Addresses

Primary practice location

792 College Pkwy
Suite 207
Colchester, VT 05446-3052

Mailing address

792 College Pkwy
Suite 207
Colchester, VT 05446-3052
Phone (802) 655-3400

Other practice location 1

111 Colchester Ave
Burlington, VT 05401-1473
Phone (802) 847-0000

Other identifiers 1

IdentifierTypeStateIssuer
1010105460OtherVTSTATE OF VERMONT BOARD OF NURSING

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20140826002736 VT Practitioner - Nurse Practitioner 7618195090 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
George Washington University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northwestern Medical Center IncGroup PAC ID 5496714313, 105 clinicians

Practice addresses (Care Compare)

111 Colchester Ave
Burlington, VT 05401-1473
Phone (802) 847-0000

133 Fairfield St
Saint Albans, VT 05478-1726
Phone (802) 524-8852

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1010105460VTMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Champlain Valley Hematology Oncology, PC CurrentSince Jul 21, 2014 Accepting new patients
Northwestern Medical Center, Inc CurrentSince Sep 30, 2023 Accepting new patients
Northwestern Medical Center, Inc. Current Accepting new patients
Hospitalist Medicine Physicians of Vermont-TCG, LLC CurrentSince Oct 12, 2022 Accepting new patients
Vermont Center for Cancer Medicine, Inc. CurrentSince Jul 21, 2014 Accepting new patients
Northwestern Medical Center, Inc. CurrentSince Sep 30, 2023 Accepting new patients
University of Vermont Medical Center Inc CurrentSince May 6, 2025 Accepting new patients
Northwestern Medical Center Inc Past Accepting new patients

Locations

1 S Prospect St
Burlington, VT 05401
Phone (802) 847-4531

111 Colchester Ave
Burlington, VT 05401
Phone (802) 656-2415

792 College Pkwy
Ste 207
Colchester, VT 05446
Phone (802) 655-3400

133 Fairfield St
Saint Albans, VT 05478
Phone (802) 524-1227

3 Crest Rd
Saint Albans, VT 05478
Phone (802) 524-4554

Interoperability endpoints

  • Direct secure messaging: afox623391@direct.uvmhealth.org

Organizations & group practices 8

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 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1404950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1063828036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "792 COLLEGE PKWY",
            "address_2": "SUITE 207",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "054463052",
            "telephone_number": "802-655-3400",
            "fax_number": "802-655-9170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "792 COLLEGE PKWY",
            "address_2": "SUITE 207",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "054463052",
            "telephone_number": "802-655-3400",
            "fax_number": "802-655-9170"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Colchester Ave",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "VT",
            "postal_code": "054011473",
            "country_code": "US",
            "telephone_number": "802-847-0000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOX",
        "first_name": "AMY",
        "middle_name": "M",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-10",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VT",
            "license": "1010105460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF VERMONT BOARD OF NURSING",
            "identifier": "1010105460",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colchester, VT

Sources for this page

Verify at the official NPI Registry.