Individual provider Active NPI

Kelly Ann Cole

  • Family Nurse Practitioner
  • Bennington, VT
National Provider Identifier
1104712843
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F356998-01 Issued in NY
Practice address
120 Hospital Dr
Bennington, VT 05201-5002
Phone
(802) 440-4077
NPI assigned
Jun 17, 2025
Last updated
Jun 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F356998-01 NY Primary

Addresses

Primary practice location

120 Hospital Dr
Bennington, VT 05201-5002

Mailing address

3619 County Route 30
Salem, NY 12865-4703
Phone (518) 448-3340

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, VT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20251017002802 NY Practitioner - Nurse Practitioner 3870080237 Reassigns benefits to 1 organization
I20251017002907 VT Practitioner - Nurse Practitioner 3870080237 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwestern Vermont Medical Center, IncGroup PAC ID 0143138446, shared by 3 NPIs, 174 clinicians

Practice addresses (Care Compare)

100 Hospital Dr
Bennington, VT 05201-5004
Phone (802) 442-6361

120 Hospital Dr
Bennington, VT 05201-5002
Phone (802) 440-4077

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F356998-01NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Twin Rivers Medical PC CurrentSince Sep 1, 2025 Accepting new patients
Southwestern Vermont Medical Center Inc. Current Accepting new patients
Southwestern Vermont Medical Center Inc. CurrentSince Sep 1, 2025 Accepting new patients
Twin Rivers Medical PC Current Accepting new patients
Southwestern Vermont Medical Center, Inc CurrentSince Sep 1, 2025 Accepting new patients

Locations

16 Danforth St
Hoosick Falls, NY 12090
Phone (518) 686-5002

100 Hospital Dr
Bennington, VT 05201
Phone (802) 447-4509

120 Hospital Dr
Bennington, VT 05201
Phone (802) 440-4077

140 Hospital Dr
Ste 116
Bennington, VT 05201
Phone (802) 447-1836

7237 Route 7
Pownal, VT 05261
Phone (802) 681-2780

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3744/brand/4/csg/23/fhir/r4
  • Direct secure messaging: kelly.cole.1@3744.direct.athenahealth.com

Organizations & group practices 5

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 1

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": "1750118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1104712843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3619 COUNTY ROUTE 30",
            "city": "SALEM",
            "state": "NY",
            "postal_code": "128654703",
            "telephone_number": "518-448-3340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 HOSPITAL DR",
            "city": "BENNINGTON",
            "state": "VT",
            "postal_code": "052015002",
            "telephone_number": "802-440-4077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "KELLY",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-17",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F356998-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bennington, VT

Sources for this page

Verify at the official NPI Registry.