Leah Mariette Macaulay, P.N.P

Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · South Burlington, VT

NPI 1124357215 · NPPES record last updated May 20, 2025

Key facts

NPI
1124357215
Entity type
Individual (NPI type 1)
Primary specialty
Psychiatric/Mental Health Nurse Practitioner 363LP0808X
License
101.0060740 (VT)
Practice address
595 Dorset St Ste 4
South Burlington, VT 05403-6240
Phone
(802) 489-5552
NPI assigned
Dec 18, 2009
Sex
Female
Sole proprietor
No

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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 IDStateProvider typePAC IDDetails
I20181015002574 VT Practitioner - Nurse Practitioner 0446502710 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
101.0060740VTMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Health Partners - New York LLP Current
since Jul 2, 2023
Accepting new patients
Primary Care Health Partners - Vermont LLP Psychiatric/Mental Health Current
since Sep 17, 2018
Accepting new patients
Primary Care Health Partners Past Accepting new patients

Locations

1127 North Ave
Ste 1
Burlington, VT 05408
Phone (802) 846-8100

51 Timber Ln
South Burlington, VT 05403
Phone (802) 864-0521

595 Dorset St
Ste 4
South Burlington, VT 05403
Phone (802) 343-0901

600 Blair Park Rd
Ste 285
Williston, VT 05495
Phone (802) 288-1140

66 Knight Ln
Ste 10
Williston, VT 05495
Phone (802) 872-4327

Interoperability endpoints

  • Direct secure messaging: lmacaulay@pchpmd.medentdirect.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 101.0060740 VT
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 101.0060740 VT Yes

Addresses

Primary practice location

595 Dorset St Ste 4
South Burlington, VT 05403-6240

Mailing address

600 Blair Park Rd Ste 285
Williston, VT 05495-7586
Phone (802) 288-1140

Other identifiers

IdentifierTypeStateIssuer
1019167MedicaidVT

Other names

  • Leah Mariette Porter Former name

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address lmacaulay@pchpmd.medentdirect.com Direct

Other providers in South Burlington, VT

All providers in South Burlington, VT · Psychiatric/Mental Health Nurse Practitioner in Vermont

Sources for this page

Verify at the official NPI Registry.