Jessica R Sherman, AGPCNP-BC
Individual provider Active NPI Adult Health Nurse Practitioner · Berlin, VT
NPI 1104648864 · NPPES record last updated Jan 18, 2025
Key facts
- NPI
- 1104648864
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- 101.0137481 (VT)
- Practice address
- 142 Woodridge Rd
Berlin, VT 05602-9165 - Phone
- (802) 371-4712
- NPI assigned
- Oct 24, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250402000507 | VT | Practitioner - Nurse Practitioner | 0042733875 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Vermont Medical Center Inc | Current |
Accepting new patients |
Locations
142 Woodridge Rd
Berlin, VT 05602
Phone (802) 371-4700
130 Fisher Rd
#C
Berlin, VT 05602
Phone (802) 225-5400
Interoperability endpoints
- jsherman399355@direct.uvmhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 101.0137481 | VT | Yes |
Addresses
Primary practice location
142 Woodridge Rd
Berlin, VT 05602-9165
Mailing address
265 Sherman Dr
Waterbury, VT 05676-9835
Phone (802) 777-3111
Other providers in Berlin, VT
- Michael Ed Shaw
- Shaws Supermarkets Inc
- Harriott Meyer Shea
- Jessica Shedd
- Holly D. Shephard
- Ilene B Siegel
- James Siegel
- Devika Singh
- Priyanka Singh
- Sarah Sliva
All providers in Berlin, VT · Adult Health Nurse Practitioner in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 18, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.