Susan Lucille Jaynes, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

101 0074099 Issued in VT

Practice address

272 No Main St
Cambridge, VT 05444-0102

Phone

(802) 644-5114

Fax

(802) 644-5573

NPI assigned

Jan 14, 2011

Last updated

Jan 23, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VT

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 1

Specialty

Nurse Practitioner

Education

University of Vermont College of Medicine, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Richmond Family Medicine PLLCGroup PAC ID 7113199480, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Univ. of Vermont - Fletcher Allen Health Care Hospital, Burlington, VT, CCN 470003

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: susanjaynes@richmondfamilymedicine.medentdirect.com

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.

• Richmond Family Medicine PLLC

  • Family Medicine Physician
  • Richmond, VT
  • NPI 1851698112
  Medicare reassignment Care Compare group NPD
• University of Vermont Medical Center Inc

  dba Uvm Medical Center

  • Internal Medicine Physician
  • Burlington, VT
  • NPI 1659309615
  Medicare reassignment NPD

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

• University of Vermont Medical Center Inc

  • General Acute Care Hospital
  • Burlington, VT
  • NPI 1568419976
  Care Compare affiliation

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

{
    "created_epoch": "1294963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295740800000",
    "number": "1144525619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 102",
            "city": "CAMBRIDGE",
            "state": "VT",
            "postal_code": "054440102",
            "telephone_number": "802-644-5114",
            "fax_number": "802-644-5573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "272 NO MAIN ST",
            "city": "CAMBRIDGE",
            "state": "VT",
            "postal_code": "054440102",
            "telephone_number": "802-644-5114",
            "fax_number": "802-644-5573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAYNES",
        "first_name": "SUSAN",
        "middle_name": "LUCILLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-14",
        "last_updated": "2011-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VT",
            "license": "101 0074099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Carey, M.D.
• Family Practice Associates Inc
• Roberta S Hamilton, LIC. AC.
• Charles Steven Hayes, P.T.
• Inner Path Nutrition, PLC
• KPH Healthcare Services, Inc. (Kinney Drugs #86)
• Lamoille Health Partners Inc.
• McKeinzie Leikert, FNP-BC
• Donald Barker Miller, MD
• Nordic Rehab @ Wellness

• Nurse Practitioner in Cambridge, VT
• Providers in Cambridge, VT by specialty
• Nurse Practitioner in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.