NPIMap

Individual provider Active NPI

Annick-Marie Votteler Kaufman, M.D.

  • Surgery Physician
  • St Johnsbury, VT
National Provider Identifier
1275657280
Registry record updated Oct 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
0420012950 Issued in VT
Practice address
1315 Hospital Dr
St Johnsbury, VT 05819-9210
Phone
(802) 748-8141
NPI assigned
Mar 16, 2007
Last updated
Oct 31, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 6666666 OH
Surgery Physician 208600000X 0420012950 VT Primary

Addresses

Primary practice location

1315 Hospital Dr
St Johnsbury, VT 05819-9210

Mailing address

PO Box 905
St Johnsbury, VT 05819-0905
Phone (802) 748-8141

Other identifiers 2

IdentifierTypeStateIssuer
1023635MedicaidVT
3098441MedicaidNH

Other names 1

  • Dr. Annick-Marie Votteler Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT, PA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20141029001517 VT Practitioner - General Surgery 1759481864 Reassigns benefits to 2 organizations
I20240923000147 PA Practitioner - General Surgery 1759481864 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians

Practice addresses (Care Compare)

439 E 1St St
Bloomsburg, PA 17815-1417
Phone (570) 416-0567

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.15 of 100Reported as apm
Quality
83.54
Promoting interoperability
94.52
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6666666OHMDSurgery Physician
0420012950VTMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeastern Vermont Regional Hospital, Inc Current Accepting new patients
Geisinger-HM Joint Venture, LLC CurrentSince Aug 5, 2024 Accepting new patients
Geisinger-HM Joint Venture, LLC Current Accepting new patients
Northeastern Vermont Regional Hospital, Inc CurrentSince Feb 13, 2018 Accepting new patients
Wolf Ridge Surgery PC Surgery CurrentSince Feb 1, 2008 Accepting new patients
Northeastern Vermont Regional Hospital, Inc Current Accepting new patients
Geisinger Clinic Current Accepting new patients
Geisinger-HM Joint Venture, LLC Surgery CurrentSince Aug 5, 2024 Accepting new patients
Northeastern Vermont Regional Hospital, Inc Current Accepting new patients
Geisinger Clinic CurrentSince Aug 5, 2024 Accepting new patients
Northeastern Vermont Regional Hospital Inc. CurrentSince Aug 15, 2014 Accepting new patients
Northeastern Vermont Regional Hospital Inc Current Accepting new patients
Northeastern Vermont Regional Hospital, Inc Surgery CurrentSince Aug 15, 2014 Accepting new patients
Geisinger Clinic Surgery Past Accepting new patients

Locations

1801 Highway 99 N
Ste 2
Ashland, OR 97520
Phone (541) 482-5515

439 E 1st St
Bloomsburg, PA 17815
Phone (570) 387-1444

100 N Academy Ave
Danville, PA 17822

10 Choate Cir
Montoursville, PA 17754
Phone (570) 368-5566

255 Route 220 Hwy
Muncy, PA 17756
Phone (570) 308-2600

1315 Hospital Dr
St Johnsbury, VT 05819
Phone (802) 748-3638

Interoperability endpoints

  • Direct secure messaging: akaufman@yourcarecommunity.org

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 37

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

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414713600000",
    "number": "1275657280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 905",
            "city": "ST JOHNSBURY",
            "state": "VT",
            "postal_code": "058190905",
            "telephone_number": "802-748-8141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 HOSPITAL DR",
            "city": "ST JOHNSBURY",
            "state": "VT",
            "postal_code": "058199210",
            "telephone_number": "802-748-8141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUFMAN",
        "first_name": "ANNICK-MARIE",
        "middle_name": "VOTTELER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2014-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "6666666",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VT",
            "license": "0420012950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023635",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3098441",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNICK-MARIE",
            "last_name": "VOTTELER",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in St Johnsbury, VT

Sources for this page

Verify at the official NPI Registry.