Individual provider Active NPI

Matthew C Miffitt, MSN

  • Adult Health Nurse Practitioner
  • Colchester, VT
National Provider Identifier
1235447434
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
101-0070819 Issued in VT
Practice address
875 Roosevelt Hwy Ste 220
Colchester, VT 05446-4460
Phone
(802) 242-1262
NPI assigned
Sep 22, 2010
Last updated
Aug 9, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 101-0070819 VT
Adult Health Nurse Practitioner 363LA2200X 101-0070819 VT Primary

Addresses

Primary practice location

875 Roosevelt Hwy Ste 220
Colchester, VT 05446-4460

Mailing address

875 Roosevelt Hwy Ste 220
Colchester, VT 05446-4460
Phone (802) 242-1262

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
I20110315000980 VT Practitioner - Nurse Practitioner 3577745348 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

875 Roosevelt Hwy
Suite 220
Colchester, VT 05446-4460
Phone (802) 242-1262

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Matthew Miffitt, Aprn, PLC Adult Health CurrentSince Apr 26, 2022 Accepting new patients
The Richford Health Center Inc PastSince Sep 5, 2023 Accepting new patients

Locations

875 Roosevelt Hwy
Ste 220
Colchester, VT 05446
Phone (802) 242-1262

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.

NPI Registry JSON

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

{
    "created_epoch": "1285113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1235447434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 ROOSEVELT HWY STE 220",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "054464460",
            "telephone_number": "802-242-1262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 ROOSEVELT HWY STE 220",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "054464460",
            "telephone_number": "802-242-1262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIFFITT",
        "first_name": "MATTHEW",
        "middle_name": "C",
        "credential": "MSN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-22",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VT",
            "license": "101-0070819",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VT",
            "license": "101-0070819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colchester, VT

Sources for this page

Verify at the official NPI Registry.