Romeg Enterprises PC
Organization Active NPI Adult Health Nurse Practitioner · Jacksonville, VT
NPI 1124250352 · NPPES record last updated Jul 15, 2026
Key facts
- NPI
- 1124250352
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- Legal business name
- ROMEG ENTERPRISES PC
- Practice address
- 101 Elwin LN
Jacksonville, VT 05342-9691 - Phone
- (508) 637-1604
- NPI assigned
- Aug 21, 2009
- Organization subpart
- No
Authorized official
- Name
- Wendy Ann Sergeant, DNP
- Title
- President
- Phone
- (802) 435-0616
Practitioners 1
-
Albert Byron Olivera, MSN, APRN, FNP-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MA, VT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20091105000552 | MA | Part B Supplier - Clinic/Group Practice | 3779621040 |
Receives reassigned benefits from 2 practitioners Practice locations: North Brookfield, MA |
| O20220908002954 | VT | Part B Supplier - Clinic/Group Practice | 3779621040 |
Receives reassigned benefits from 1 practitioner Practice locations: Jacksonville, VT |
National Provider Directory
Locations
163 N Main St
North Brookfield, MA 01535
Phone (508) 344-8383
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prescribing (Medical) Psychologist |
103TP0016X | |||
| Health Service Clinic/Center | 261QH0100X | 273780 | MA | |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Adult Health Nurse Practitioner |
363LA2200X | Yes | ||
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X |
Addresses
Primary practice location
101 Elwin LN
Jacksonville, VT 05342-9691
Mailing address
PO Box 576
Jacksonville, VT 05342-0576
Phone (508) 637-1604
Other names
- Mind and Soul
NPI Registry JSON
{
"created_epoch": "1250812800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1784073600000",
"number": "1124250352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 576",
"city": "JACKSONVILLE",
"state": "VT",
"postal_code": "053420576",
"telephone_number": "508-637-1604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 ELWIN LN",
"city": "JACKSONVILLE",
"state": "VT",
"postal_code": "053429691",
"telephone_number": "508-637-1604"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROMEG ENTERPRISES PC",
"organizational_subpart": "NO",
"enumeration_date": "2009-08-21",
"last_updated": "2026-07-15",
"certification_date": "2026-07-15",
"status": "A",
"authorized_official_last_name": "SERGEANT",
"authorized_official_first_name": "WENDY",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "802-435-0616",
"authorized_official_credential": "DNP"
},
"taxonomies": [
{
"code": "103TP0016X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Prescribing (Medical)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "MA",
"license": "273780",
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Mind and Soul",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Jacksonville, VT
All providers in Jacksonville, 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 Jul 15, 2026. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.