Individual provider Active NPI

Anje C Van Berckelaer, MD

  • Family Medicine Physician
  • Salem, NY
National Provider Identifier
1174654479
Registry record updated Jul 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
343372 Issued in NY
Practice address
1830 County Route 64
Salem, NY 12865-3404
Phone
(518) 824-2571
Fax
(833) 438-0104
NPI assigned
Mar 8, 2007
Last updated
Jul 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 042.0013693 VT
Family Medicine Physician 207Q00000X 343372 NY Primary

Addresses

Primary practice location

1830 County Route 64
Salem, NY 12865-3404

Mailing address

9 Carey Rd
Queensbury, NY 12804-7880
Phone (518) 761-0300

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address anje.van.berckelaer.1@1823.direct.athenahealth.com

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170428001354 VT Practitioner - Family Practice 4486728235

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Harvard Medical School, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Little Rivers Health Care, Inc.Group PAC ID 8224031497, shared by 9 NPIs, 30 clinicians
Battenkill Valley Health Center IncGroup PAC ID 2769612548, shared by 2 NPIs, 11 clinicians

Practice addresses (Care Compare)

143 Fairground Rd
Bradford, VT 05033-9040
Phone (802) 757-2325

18 Church St
Arlington, VT 05250-4457
Phone (802) 375-6566

36 Oxbow Dr
Bradford, VT 05033-9037
Phone (802) 222-9317

437 S Main St
Little Rivers HC Inc
Bradford, VT 05033-0338
Phone (802) 222-9317

9 Church St
Arlington, VT 05250-4457
Phone (802) 375-6566

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A93304CAMDFamily Medicine Physician
MD434212PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson Headwaters Health Network Family Medicine CurrentSince Jul 30, 2026 Accepting new patients
Hudson Headwaters Health Network PastSince Jul 30, 2026 Accepting new patients

Locations

48 East St
Fort Edward, NY 12828
Phone (518) 824-8630

9 Carey Rd
Queensbury, NY 12804

1830 County Route 64
Salem, NY 12865
Phone (518) 824-2571

Interoperability endpoints

  • Direct secure messaging: anje.vanberckelaer@bvhc.eclinicaldirectplus.com
  • Direct secure messaging: anje.vanberckelaer@directaddress.net

Organizations & group practices 2

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784419200000",
    "number": "1174654479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 CAREY RD",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128047880",
            "telephone_number": "518-761-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 COUNTY ROUTE 64",
            "city": "SALEM",
            "state": "NY",
            "postal_code": "128653404",
            "telephone_number": "518-824-2571",
            "fax_number": "833-438-0104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN BERCKELAER",
        "first_name": "ANJE",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2026-07-19",
        "certification_date": "2026-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VT",
            "license": "042.0013693",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "343372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "anje.van.berckelaer.1@1823.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "1830 County Route 64",
            "city": "Salem",
            "state": "NY",
            "country_code": "US",
            "postal_code": "128653404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Salem, NY

Sources for this page

Verify at the official NPI Registry.