NPIMap

Individual provider Active NPI

Maryrose Monica Zeviar, PA

  • Medical Physician Assistant
  • Saint Albans, VT
National Provider Identifier
1083679179
Registry record updated Dec 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
055-0030601 Issued in VT
Practice address
133 Fairfield St
Emergency Department
Saint Albans, VT 05478-1726
Phone
(802) 524-1037
Fax
(802) 524-1053
NPI assigned
Apr 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 055-0030601 VT Primary

Addresses

Primary practice location

133 Fairfield St
Emergency Department
Saint Albans, VT 05478-1726

Mailing address

260 Crest Rd
Suite 207
Saint Albans, VT 05478-9503
Phone (802) 524-8952

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
I20071126000581 VT Practitioner - Physician Assistant 3476641598 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
May accept Medicare assignment
Group practices
Northwestern Medical Center IncGroup PAC ID 5496714313, shared by 4 NPIs, 105 clinicians
The Richford Health Center, Inc.Group PAC ID 7012825631, 30 clinicians

Practice addresses (Care Compare)

133 Fairfield St
Saint Albans, VT 05478-1726

3 Crest Rd
Saint Albans, VT 05478-9753
Phone (802) 524-4554

64 Industrial Park Rd
Alburg, VT 05440-4170
Phone (802) 796-4414

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
055-0030601VTMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Northwestern Medical Center, Inc CurrentSince Dec 10, 2009 Accepting new patients
Northwestern Medical Center Inc CurrentSince Jul 1, 2018 Accepting new patients
The Richford Health Center Inc CurrentSince Jan 1, 2016 Accepting new patients
California Em-I Medical Services Past Accepting new patients
The Richford Health Center Inc Past Accepting new patients
The Richford Health Center Inc Past Accepting new patients

Locations

1199 Main St
Fairfax, VT 05454
Phone (802) 849-2023

44 Main St
Ste 200
Richford, VT 05476
Phone (802) 255-5500

260 Crest Rd
Ste 207
Saint Albans, VT 05478
Phone (802) 524-8950

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

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

26 Canada St
Swanton, VT 05488
Phone (800) 868-2454

Interoperability endpoints

  • Direct secure messaging: monicaz@notch.medentdirect.com

Organizations & group practices 9

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 8

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": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262044800000",
    "number": "1083679179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 CREST RD",
            "address_2": "SUITE 207",
            "city": "SAINT ALBANS",
            "state": "VT",
            "postal_code": "054789503",
            "telephone_number": "802-524-8952",
            "fax_number": "802-524-7952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 FAIRFIELD ST",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "SAINT ALBANS",
            "state": "VT",
            "postal_code": "054781726",
            "telephone_number": "802-524-1037",
            "fax_number": "802-524-1053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEVIAR",
        "first_name": "MARYROSE",
        "middle_name": "MONICA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-20",
        "last_updated": "2009-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VT",
            "license": "055-0030601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Albans, VT

Sources for this page

Verify at the official NPI Registry.