Individual provider Active NPI

Christopher Ingvoldstad, APRN, FNP-BC

  • Family Nurse Practitioner
  • Colchester, VT
National Provider Identifier
1295114585
Registry record updated Jan 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
101.0110100 Issued in VT
Practice address
883 Blakely Rd
Uvm Medical Center, Family Medicine - Colchester
Colchester, VT 05446-4417
Phone
(802) 847-2055
Fax
(802) 847-1688
NPI assigned
May 20, 2015
Last updated
Jan 14, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 101.0110100 VT Primary

Addresses

Primary practice location

883 Blakely Rd
Uvm Medical Center, Family Medicine - Colchester
Colchester, VT 05446-4417

Mailing address

883 Blakely Rd
Uvm Medical Center, Family Medicine - Colchester
Colchester, VT 05446-4417
Phone (802) 847-2055

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
I20150814013216 VT Practitioner - Nurse Practitioner 9739494188 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Vermont College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

111 Colchester Ave
Burlington, VT 05401-1473
Phone (802) 847-0000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
101.0110100VTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Vermont Medical Center Inc CurrentSince Oct 31, 2015 Accepting new patients
Fiddlehead Ledge LLC CurrentSince Aug 8, 2021 Accepting new patients
Fletcher Allen Health Care Inc Past Accepting new patients

Locations

1 S Prospect St
Burlington, VT 05401
Phone (802) 847-4531

111 Colchester Ave
Burlington, VT 05401
Phone (802) 656-2415

883 Blakely Rd
Colchester, VT 05446
Phone (802) 847-2055

Interoperability endpoints

  • Direct secure messaging: cingvoldstad13423@direct.uvmhealth.org

Organizations & group practices 3

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 5

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": "1432080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452729600000",
    "number": "1295114585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "883 BLAKELY RD",
            "address_2": "UVM MEDICAL CENTER, FAMILY MEDICINE - COLCHESTER",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "054464417",
            "telephone_number": "802-847-2055",
            "fax_number": "802-847-1688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "883 BLAKELY RD",
            "address_2": "UVM MEDICAL CENTER, FAMILY MEDICINE - COLCHESTER",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "054464417",
            "telephone_number": "802-847-2055",
            "fax_number": "802-847-1688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGVOLDSTAD",
        "first_name": "CHRISTOPHER",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-20",
        "last_updated": "2016-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VT",
            "license": "101.0110100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colchester, VT

Sources for this page

Verify at the official NPI Registry.