NPIMap

Individual provider Active NPI

Sheilah Scofield

  • Nurse Practitioner
  • Bennington, VT
National Provider Identifier
1285010397
Registry record updated Jan 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F339689-1 Issued in NY
Practice address
140 Hospital Dr
Suite 301
Bennington, VT 05201-5009
Phone
(802) 442-3022
NPI assigned
Jul 31, 2015
Sex
Female
Sole proprietor
No

Organizations & group practices 20

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 20

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

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Group practices
State of New York Comptrollers Office 171 clinicians

Practice addresses (Care Compare)

200 Smith Dr
Corinth, NY 12822-1341
Phone (518) 654-7680

Hospital & facility affiliations

  • Glens Falls Hospital Hospital, Glens Falls, NY, CCN 330191
  • Saratoga Hospital Hospital, Saratoga Springs, NY, CCN 330222
  • St Peter'S Hospital Hospital, Albany, NY, CCN 330057

Medicare participation

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

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20190226001603 NY Practitioner - Nurse Practitioner 8820395361 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
339689NYMDAnatomic Pathology & Clinical Pathology Physician
F339689-1NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
John C. Herzog, DO, PLLC CurrentSince Feb 1, 2019 Accepting new patients
State of New York Comptrollers Office CurrentSince Oct 1, 2021 Accepting new patients
John C. Herzog, DO, PLLC CurrentSince Feb 1, 2019 Accepting new patients
State of New York Comptrollers Office CurrentSince Oct 1, 2021 Accepting new patients
Southwestern Vermont Medical Center Inc. Past Accepting new patients

Locations

44 Holland Ave
Fl 4
Albany, NY 12208

305 Main St
Binghamton, NY 13905
Phone (607) 729-1295

200 Smith Dr
Corinth, NY 12822
Phone (518) 654-7680

7 Murray St
Glens Falls, NY 12801
Phone (518) 743-1010

16 Degrandpre Way
Ste 100
Plattsburgh, NY 12901
Phone (518) 262-0900

31 Myrtle St
Saratoga Springs, NY 12866
Phone (518) 262-0900

500 Balltown Rd
Schenectady, NY 12304
Phone (518) 388-1950

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F339689-1 NY Primary

Addresses

NPPES NPI Registry

Primary practice location

140 Hospital Dr
Suite 301
Bennington, VT 05201-5009

Mailing address

PO Box 819
Saratoga Springs, NY 12866-0819
Phone (518) 587-7746

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 29, 2019.

{
    "created_epoch": "1438300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548720000000",
    "number": "1285010397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 819",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128660819",
            "telephone_number": "518-587-7746",
            "fax_number": "518-306-6502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 HOSPITAL DR",
            "address_2": "SUITE 301",
            "city": "BENNINGTON",
            "state": "VT",
            "postal_code": "052015009",
            "telephone_number": "802-442-3022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOFIELD",
        "first_name": "SHEILAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-31",
        "last_updated": "2019-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F339689-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bennington, VT

Sources for this page

Verify at the official NPI Registry.