Individual provider Active NPI

Peyton Wingfield, APRN FNP

  • Family Nurse Practitioner
  • South Burlington, VT
National Provider Identifier
1174201594
Registry record updated Jul 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
101.0136395 Issued in VT
Practice address
53 Timber LN
South Burlington, VT 05403-5201
Phone
(802) 864-0294
NPI assigned
Jul 6, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2023

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 101.0136395 VT Primary

Addresses

Primary practice location

53 Timber LN
South Burlington, VT 05403-5201

Mailing address

60 Winooski Falls Way Unit 1411
Winooski, VT 05404-2271
Phone (434) 660-9175

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20260209002437 VT Practitioner - Nurse Practitioner 8820577067 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Timber Lane Allergy and Asthma Associates, PCGroup PAC ID 5698783520, 3 clinicians

Practice addresses (Care Compare)

53 Timber LN
S Burlington, VT 05403-5201
Phone (802) 864-0294

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
101.0136395VTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Timber Lane Allergy & Asthma Associates, PC CurrentSince Oct 31, 2025 Accepting new patients

Locations

53 Timber Ln
South Burlington, VT 05403
Phone (802) 864-0294

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1688601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1174201594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 WINOOSKI FALLS WAY UNIT 1411",
            "city": "WINOOSKI",
            "state": "VT",
            "postal_code": "054042271",
            "telephone_number": "434-660-9175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 TIMBER LN",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054035201",
            "telephone_number": "802-864-0294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINGFIELD",
        "first_name": "PEYTON",
        "credential": "APRN FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-06",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VT",
            "license": "101.0136395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Burlington, VT

Sources for this page

Verify at the official NPI Registry.