NPIMap

Individual provider Active NPI

Jean M Prunty, MD

  • Neurology Physician
  • Morrisville, VT
National Provider Identifier
1336190487
Registry record updated Mar 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
042-0008373 Issued in VT
Practice address
609 Washington Hwy
Morrisville, VT 05661-8652
Phone
(802) 888-5688
Fax
(802) 888-6818
NPI assigned
May 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 042-0008373 VT Primary

Addresses

Primary practice location

609 Washington Hwy
Morrisville, VT 05661-8652

Mailing address

607 Washinton Highway
Morrisville, VT 05661-8715
Phone (802) 888-5688

Other practice location 1

607 Washington Highway
Morrisville, VT 05661-8715
Phone (802) 888-5688

Other identifiers 2

IdentifierTypeStateIssuer
0VN0112MedicaidVT
00018146OtherVTBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060313000413 VT Practitioner - NeurologyPractitioner - Pain Management 6709893969 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Pain Management
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Copley Hospital IncGroup PAC ID 9234125766, shared by 2 NPIs, 61 clinicians

Practice addresses (Care Compare)

528 Washington Hwy
Orthopaedics
Morrisville, VT 05661-8973
Phone (802) 888-8405

Hospital & facility affiliations

  • Lamoille Home Health & Hospice Home health agency, Morrisville, VT, CCN 477015
  • Copley Hospital Hospital, Morrisville, VT, CCN 471305
  • Univ. of Vermont - Fletcher Allen Health Care Hospital, Burlington, VT, CCN 470003
  • North Country Hospital and Health Center Hospital, Newport, VT, CCN 471304
  • Northwestern Medical Center Inc Hospital, Saint Albans, VT, CCN 470024

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
042-0008373VTMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Copley Hospital Inc Current Accepting new patients
Copley Hospital, Inc. Current Accepting new patients
Copley Hospital, Inc. Current Accepting new patients
Copley Hospital, Inc. CurrentSince Mar 1, 2021 Accepting new patients
Copley Hospital, Inc CurrentSince Mar 1, 2021 Accepting new patients
Copley Hospital, Inc. Current Accepting new patients

Locations

528 Washington Hwy
Ofc
Morrisville, VT 05661

528 Washington Hwy
Morrisville, VT 05661
Phone (802) 888-4231

Organizations & group practices 6

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 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": "1147478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521676800000",
    "number": "1336190487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 WASHINTON HIGHWAY",
            "city": "MORRISVILLE",
            "state": "VT",
            "postal_code": "056618715",
            "telephone_number": "802-888-5688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 WASHINGTON HWY",
            "city": "MORRISVILLE",
            "state": "VT",
            "postal_code": "056618652",
            "telephone_number": "802-888-5688",
            "fax_number": "802-888-6818"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "607 WASHINGTON HIGHWAY",
            "address_purpose": "LOCATION",
            "city": "Morrisville",
            "state": "VT",
            "postal_code": "056618715",
            "country_code": "US",
            "telephone_number": "802-888-5688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRUNTY",
        "first_name": "JEAN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-13",
        "last_updated": "2018-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "VT",
            "license": "042-0008373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0VN0112",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00018146",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morrisville, VT

Sources for this page

Verify at the official NPI Registry.