Active NPI
Shaun D Demers, APRN
- Adult Psychiatric/Mental Health Registered Nurse
- Barre, VT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Psychiatric/Mental Health Registered Nurse
- License
- 101.0123357
- Practice address
- 82 E View LN
CVMC Family Psychiatry
Barre, VT 05641-5332 - Phone
- (802) 225-1266
- Fax
- (802) 479-3548
- NPI assigned
- Mar 7, 2006
- Last updated
- Mar 17, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | 101.0123357 | VT | Primary |
Addresses
Primary practice location
82 E View LN
CVMC Family Psychiatry
Barre, VT 05641-5332
Mailing address
PO Box 547
Attn Finance Department
Barre, VT 05641-0547
Phone (802) 225-1266
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 28387344002001 | Other | UT | BCBS UT |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Central Vermont Medical Center Inc
Practice addresses (Care Compare)
1311 Barre Montpelier Rd
Berlin, VT 05602
1311 Barre Montpelier Road
400 CVMC Orthopedics and Spine Medicine
Berlin, VT 05602
Phone (802) 225-3970
246 Granger Rd
Berlin, VT 05602
82 E View Lane
3 CVMC Family Psychiatry
Berlin, VT 05602
Phone (802) 225-1266
859 Old County Rd
Waitsfield, VT 05673-6221
Phone (802) 496-3838
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101.0123357 | VT | MD | Adult Psychiatric/Mental Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Vermont Medical Center Inc | Current | Accepting new patients | |
| Central Vermont Medical Center Inc | Current | Accepting new patients | |
| Nurse Practitioner Healthcare Associates | Past | Accepting new patients |
Locations
130 Fisher Rd
Barre, VT 05641
Phone (802) 371-4235
82 E View Ln
Barre, VT 05641
Phone (802) 223-4200
130 Fisher Rd
#C
Berlin, VT 05602
Phone (802) 225-5400
Interoperability endpoints
- sdemers236543@direct.uvmhealth.org
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Berlin, VT
- NPI 1023028784
-
dba Central Vermont Hospital
- Internal Medicine Physician
- Berlin, VT
- NPI 1831374362
-
dba Npha
- Primary Care Clinic/Center
- Salt Lake City, UT
- NPI 1114124732
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Berlin, VT
- NPI 1508845637
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489708800000",
"number": "1083681167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 547",
"address_2": "ATTN FINANCE DEPARTMENT",
"city": "BARRE",
"state": "VT",
"postal_code": "056410547",
"telephone_number": "802-225-1266",
"fax_number": "802-479-3548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "82 E VIEW LN",
"address_2": "CVMC FAMILY PSYCHIATRY",
"city": "BARRE",
"state": "VT",
"postal_code": "056415332",
"telephone_number": "802-225-1266",
"fax_number": "802-479-3548"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMERS",
"first_name": "SHAUN",
"middle_name": "D",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-07",
"last_updated": "2017-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0809X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
"state": "VT",
"license": "101.0123357",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS UT",
"identifier": "28387344002001",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Barre, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2017; 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.