Deborah S Wachtel, N.P.

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

101-0014969 Issued in VT

Practice address

130 Fisher Rd Unit 1
Berlin, VT 05602-9000

Phone

(802) 225-3980

Fax

(802) 371-4855

NPI assigned

Nov 10, 2005

Last updated

Mar 7, 2023By 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 2

Addresses

Other identifiers 3

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Five-Town Health Alliance, Inc

  dba Mountain Community Health

  • Federally Qualified Health Center (FQHC)
  • Bristol, VT
  • NPI 1871840843
  Medicare reassignment NPD
• University of Vermont Nursing and Health Sciences Practice Group

  • Adult Health Nurse Practitioner
  • Burlington, VT
  • NPI 1679986327
  Medicare reassignment
• Five-Town Health Alliance, Inc

  dba Mountain Community Health

  • Dentist
  • Bristol, VT
  • NPI 1013562636
  NPD

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1326029893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 547",
            "city": "BARRE",
            "state": "VT",
            "postal_code": "056410547",
            "telephone_number": "802-225-3980",
            "fax_number": "802-371-4855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 FISHER RD UNIT 1",
            "city": "BERLIN",
            "state": "VT",
            "postal_code": "056029000",
            "telephone_number": "802-225-3980",
            "fax_number": "802-371-4855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WACHTEL",
        "first_name": "DEBORAH",
        "middle_name": "S",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-10",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VT",
            "license": "101-0014969",
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "VT",
            "license": "101-0014969",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN LICENSE",
            "identifier": "101-0014969",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ONP2926",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN LINKED TO VN3891",
            "identifier": "NP292601",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bradford M Towne, DMD
• University of Vermont Medical Center Inc
• Roberta Updegrove, M.A.
• John Valentine, MD
• Julie A Vogel, MD
• Beth Ellen Wagner, DO
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-2682)
• Washington County Mental Health Services, Inc.
• Washington County Mental Health Services, Inc.
• Washington County Mental Health Services, Inc.

• Adult Health Nurse Practitioner in Berlin, VT
• Providers in Berlin, VT by specialty
• Adult Health Nurse Practitioner in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.