Active NPI
Lauren Pelski, PA-C
- Physician Assistant
- Burlington, VT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA4663
- Practice address
- 111 Colchester Ave
Burlington, VT 05401-1473 - Phone
- (802) 847-0000
- NPI assigned
- Mar 21, 2013
- Last updated
- Aug 31, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA4663 | MA | Primary |
Addresses
Primary practice location
111 Colchester Ave
Burlington, VT 05401-1473
Mailing address
PO Box 1150
Burlington, VT 05402-1150
Phone (802) 847-0000
Other practice location 1
81 Highland Ave
Salem, MA 01970-2714
Phone (978) 741-1200
Other practice location 2
15 Francis St
Boston, MA 02115-6105
Phone (617) 732-6824
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
- Physician Assistant
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Northwestern Medical Center Inc
Practice addresses (Care Compare)
1 S Prospect St
Burlington, VT 05401-3456
Phone (802) 847-0000
111 Colchester Ave
Burlington, VT 05401-1473
Phone (802) 847-0000
133 Fairfield St
Saint Albans, VT 05478-1726
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwestern Medical Center, Inc | Current | Accepting new patients | |
| Central Vermont Medical Center Inc | Current | Accepting new patients | |
| Northwestern Medical Center Inc | Current | Accepting new patients | |
| University of Vermont Medical Center Inc | Current | Accepting new patients | |
| Central Vermont Medical Center Inc | Current | Accepting new patients | |
| Brigham & Womens Physicians Organization Inc | Past | Accepting new patients |
Locations
130 Fisher Rd
Barre, VT 05641
Phone (802) 371-4235
130 Fisher Rd
#C
Berlin, VT 05602
Phone (802) 225-5400
1 S Prospect St
Burlington, VT 05401
Phone (802) 847-4531
111 Colchester Ave
Burlington, VT 05401
Phone (802) 656-2415
133 Fairfield St
Saint Albans, VT 05478
Phone (802) 524-1227
3 Crest Rd
Saint Albans, VT 05478
Phone (802) 524-4554
Interoperability endpoints
- lpelski230669@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.
-
dba Uvm Medical Center
- Internal Medicine Physician
- Burlington, VT
- NPI 1659309615
-
- Family Medicine Physician
- Berlin, VT
- NPI 1023028784
-
dba Central Vermont Hospital
- Internal Medicine Physician
- Berlin, VT
- NPI 1831374362
-
- General Acute Care Hospital
- Saint Albans, VT
- NPI 1538293469
-
dba Northwestern Medical Center (ED)
- General Acute Care Hospital
- Saint Albans, VT
- NPI 1720112659
-
- General Acute Care Hospital
- Saint Albans, VT
- NPI 1538442199
-
dba Northwestern Family Birth Center
- Pediatrics Physician
- Saint Albans, VT
- NPI 1003574740
-
- Internal Medicine Physician
- Boston, MA
- NPI 1033535497
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Morrisville, VT
- NPI 1568414365
-
dba Northwestern Medical Center
- General Acute Care Hospital
- Saint Albans, VT
- NPI 1386689875
-
- General Acute Care Hospital
- Burlington, VT
- NPI 1568419976
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598832000000",
"number": "1093057663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1150",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "054021150",
"telephone_number": "802-847-0000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 COLCHESTER AVE",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "054011473",
"telephone_number": "802-847-0000"
}
],
"practiceLocations": [
{
"address_1": "81 Highland Ave",
"address_purpose": "LOCATION",
"city": "Salem",
"state": "MA",
"postal_code": "019702714",
"country_code": "US",
"telephone_number": "978-741-1200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "15 Francis St",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021156105",
"country_code": "US",
"telephone_number": "617-732-6824",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PELSKI",
"first_name": "LAUREN",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-03-21",
"last_updated": "2020-08-31",
"certification_date": "2020-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MA",
"license": "PA4663",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burlington, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2020; 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.