Elizabeth C Yasewicz, PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

055-0031382 Issued in VT

Practice address

186 Medical Village Drive
Newport, VT 05855-9236

Phone

(802) 334-3520

Fax

(802) 334-3512

NPI assigned

Apr 16, 2018

Last updated

Apr 23, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

Specialty

Physician Assistant

Education

Tufts University School of Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Country Hospital and Health Center IncGroup PAC ID 9739073479, shared by 8 NPIs, 50 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Orleans Essex Vna & Hospice Home health agency, Newport, VT, CCN 477018
• North Country Hospital and Health Center Hospital, Newport, VT, CCN 471304

Merit-based Incentive Payment System (MIPS)

Final score

83.39 of 100Reported as group

Quality

72.51

Promoting interoperability

100

Improvement activities

40

Cost

55.45

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• North Country Hospital & Health Center Inc

  • Critical Access Hospital
  • Newport, VT
  • NPI 1144251059
  Medicare reassignment NPD
• North Country Hospital & Health Center Inc

  dba North Country Primary Care Newport

  • Internal Medicine Physician
  • Newport, VT
  • NPI 1417023904
  Medicare reassignment NPD
• North Country Hospital & Health Center Inc

  dba North Country OB GYN Services

  • Obstetrics & Gynecology Physician
  • Newport, VT
  • NPI 1295868008
  NPD
• North Country Hospital & Health Center Inc

  dba North Country Surgical Associates

  • Surgery Physician
  • Newport, VT
  • NPI 1679551238
  NPD

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

• North Country Hospital & Health Center Inc

  • Critical Access Hospital
  • Newport, VT
  • NPI 1144251059
  Care Compare affiliation
• Orleans-Essex Vna & Hospice, Inc.

  • Home Health Agency
  • Newport, VT
  • NPI 1457469546
  Care Compare affiliation

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

{
    "created_epoch": "1523836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619136000000",
    "number": "1255828364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 MEDICAL VILALGE DRIVE",
            "address_2": "SUITE 1",
            "city": "NEWPORT",
            "state": "VT",
            "postal_code": "058559236",
            "telephone_number": "802-334-3580",
            "fax_number": "802-334-3281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 MEDICAL VILLAGE DRIVE",
            "city": "NEWPORT",
            "state": "VT",
            "postal_code": "058559236",
            "telephone_number": "802-334-3520",
            "fax_number": "802-334-3512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YASEWICZ",
        "first_name": "ELIZABETH",
        "middle_name": "C",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-16",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VT",
            "license": "055-0031382",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "VT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "elizabeth.yasewicz.1@15991.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "186 Medical Village Drive",
            "city": "Newport",
            "state": "VT",
            "country_code": "US",
            "postal_code": "058559236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Veronica Lee Whitehill
• Stephanie Whitehouse, PHARMD
• Brenda Estelle Wierschke, R.D.
• Woundwise Healing Center, PLLC
• James Vincent Wyllie, D.D.S.
• Kristi Yetsko, LADC, LCMHC
• Judy D Young, MA
• Ryan Zabinski, RD
• Wendy Zimmerman, PTA

• Internal Medicine Physician in Newport, VT
• Providers in Newport, VT by specialty
• Internal Medicine Physician in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.