NPIMap

Individual provider Active NPI

Whitney P Mical, FNP

  • Nurse Practitioner
  • Bennington, VT
National Provider Identifier
1124576475
Registry record updated Dec 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
101-0122885 Issued in VT
Practice address
655 Main St
Suite 1
Bennington, VT 05201-2870
Phone
(802) 447-2343
Fax
(802) 442-4636
NPI assigned
Sep 15, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 0122885 VT
Nurse Practitioner 363L00000X 101-0122885 VT Primary

Addresses

Primary practice location

655 Main St
Suite 1
Bennington, VT 05201-2870

Mailing address

27 Shoreham Depot Rd
Orwell, VT 05760-9770
Phone (802) 377-5977

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161024001218 VT Practitioner - Nurse Practitioner 2365720513 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Porter Hospital IncGroup PAC ID 1850365180, shared by 5 NPIs, 116 clinicians

Practice addresses (Care Compare)

115 Porter Dr
Middlebury, VT 05753-8423
Phone (802) 382-3443

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
101-0122885VTMDNurse Practitioner
0122885VTMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Porter Hospital Inc Current Accepting new patients
Porter Hospital, Inc CurrentSince Jan 1, 2021 Accepting new patients
Primary Care Health Partners - New York LLP PastSince Jul 2, 2023 Accepting new patients

Locations

61 Court Dr
Brandon, VT 05733
Phone (802) 247-3755

82 Catamount Park
Middlebury, VT 05753
Phone (802) 388-7185

115 Porter Dr
Middlebury, VT 05753
Phone (802) 388-4701

104 Porter Dr
Middlebury, VT 05753
Phone (802) 388-5682

Interoperability endpoints

  • Direct secure messaging: wmical411807@direct.uvmhealth.org

Organizations & group practices 3

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.

Hospital & facility affiliations 23

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 23

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1473897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640217600000",
    "number": "1124576475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 SHOREHAM DEPOT RD",
            "city": "ORWELL",
            "state": "VT",
            "postal_code": "057609770",
            "telephone_number": "802-377-5977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 MAIN ST",
            "address_2": "SUITE 1",
            "city": "BENNINGTON",
            "state": "VT",
            "postal_code": "052012870",
            "telephone_number": "802-447-2343",
            "fax_number": "802-442-4636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICAL",
        "first_name": "WHITNEY",
        "middle_name": "P",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-15",
        "last_updated": "2021-12-23",
        "certification_date": "2021-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "VT",
            "license": "0122885",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VT",
            "license": "101-0122885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bennington, VT

Sources for this page

Verify at the official NPI Registry.