Christin E Bland, FNP
Individual provider Active NPI Family Nurse Practitioner · Vergennes, VT
NPI 1174817852 · NPPES record last updated May 31, 2011
Key facts
- NPI
- 1174817852
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 026-0044169 (VT)
- Practice address
- 10 North St
Vergennes, VT 05491-1107 - Phone
- (802) 877-3466
- Fax
- (802) 877-1188
- NPI assigned
- May 31, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 19
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Porter Hospital Inc
Practice addresses (Care Compare)
10 N St
PMC Primary Care Vergennes
Vergennes, VT 05491-1107
Phone (802) 877-3466
Hospital & facility affiliations
- Addison County Home Health & Hospice, Inc.
- Porter Hospital Inc
- Univ. of Vermont - Fletcher Allen Health Care
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110711000072 | VT | Practitioner - Nurse Practitioner | 9335327675 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 026-0044169 | VT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Porter Hospital Inc | Current | Accepting new patients |
Locations
115 Porter Dr
Middlebury, VT 05753
Phone (802) 388-4701
Interoperability endpoints
- cbland236530@direct.uvmhealth.org
- christinbland@direct.summit-healthcare.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 026-0044169 | VT | Yes |
Addresses
Primary practice location
10 North St
Vergennes, VT 05491-1107
Mailing address
104 Porter Dr
Middlebury, VT 05753-8527
Phone (802) 388-5682
Other providers in Vergennes, VT
- Nathan Barnett
- Alexandria Benfatti
- Kimberly Bennett
- Timothy D Bicknell
- Lauren Bierman
- Kelly Louise Buttrick
- Champlain Nutrition Services LLC
- Rebecca Coburn
- David Eric Congalton
- Johanna M Crowley
All providers in Vergennes, VT · Family Nurse Practitioner in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 31, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.