NPIMap

Individual provider Active NPI

Rachel Yrsha

  • Physician Assistant
  • Bomoseen, VT
National Provider Identifier
1205465762
Registry record updated Oct 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
055.0031534 Issued in VT
Practice address
275 Route 30 N
Bomoseen, VT 05732-9647
Phone
(802) 468-5641
NPI assigned
Apr 6, 2020
Last updated
Oct 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 055.0031534 VT Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

275 Route 30 N
Bomoseen, VT 05732-9647

Mailing address

25 Johnson Hill Rd
Londonderry, VT 05148-9606
Phone (802) 342-2526

Other practice location 1

25 Johnson Hill Rd
Londonderry, VT 05148-9606
Phone (802) 342-2526

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
I20211108002335 VT Practitioner - Physician Assistant 9739578071 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rutland Mental Health Services IncGroup PAC ID 6709850324, 14 clinicians

Practice addresses (Care Compare)

78 S Main St
Rutland, VT 05701-4591
Phone (802) 775-8224

78 S Main St
PO Box 222
Rutland, VT 05701-4530

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.08 of 100Reported as group
Quality
83.79
Improvement activities
40
Cost
73.17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Centers of the Rutland Region, Inc. CurrentSince Nov 15, 2021 Accepting new patients
Community Health Centers of the Rutland Region, Inc. CurrentSince Nov 15, 2021 Accepting new patients
Southwestern Vermont Medical Center, Inc Past Accepting new patients

Locations

275 VT 30 N
Bomoseen, VT 05732
Phone (802) 468-5641

420 Grove St
Brandon, VT 05733
Phone (802) 247-6305

71 Allen St
Ste 402
Rutland, VT 05701
Phone (800) 468-9118

2987 Vt Route 22A
Shoreham, VT 05770
Phone (802) 897-7000

278 Vt Route 149
West Pawlet, VT 05775
Phone (800) 468-9118

Organizations & group practices 7

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 1

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": "1586131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633996800000",
    "number": "1205465762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 JOHNSON HILL RD",
            "city": "LONDONDERRY",
            "state": "VT",
            "postal_code": "051489606",
            "telephone_number": "802-342-2526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 ROUTE 30 N",
            "city": "BOMOSEEN",
            "state": "VT",
            "postal_code": "057329647",
            "telephone_number": "802-468-5641"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 Johnson Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Londonderry",
            "state": "VT",
            "postal_code": "051489606",
            "country_code": "US",
            "telephone_number": "802-342-2526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YRSHA",
        "first_name": "RACHEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-06",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VT",
            "license": "055.0031534",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bomoseen, VT

Sources for this page

Verify at the official NPI Registry.