Carissa Ann Brooks

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

221 Gillette Street
Wilder, VT 05088-0863

Phone

(518) 424-7648

NPI assigned

Feb 1, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Evergreen Family Health PartnersGroup PAC ID 1153402888, 20 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Uvmhn Home Health and Hospice Home health agency, Colchester, VT, CCN 477000
• Univ. of Vermont - Fletcher Allen Health Care Hospital, Burlington, VT, CCN 470003

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Evergreen Family Health Partners

  • Family Medicine Physician
  • Williston, VT
  • NPI 1588790562

  VT

  Medicare reassignment Care Compare group
• Alder Brook Family Health P.C.

  • Family Medicine Physician
  • Essex Junction, VT
  • NPI 1952332124
  NPD (past)

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

• The University of Vermont Health Network Home Health & Hospice, Inc.

  • Home Health Agency
  • Colchester, VT
  • NPI 1851343586
  Care Compare affiliation
• University of Vermont Medical Center Inc

  • General Acute Care Hospital
  • Burlington, VT
  • NPI 1568419976

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1612137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612137600000",
    "number": "1336730498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 863",
            "city": "WILDER",
            "state": "VT",
            "postal_code": "050880863",
            "telephone_number": "518-424-7648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 GILLETTE STREET",
            "city": "WILDER",
            "state": "VT",
            "postal_code": "050880863",
            "telephone_number": "518-424-7648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "CARISSA",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-01",
        "last_updated": "2021-02-01",
        "certification_date": "2021-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anderson Chiropractic LLC
• Rebecca Argent, MD
• Courtney Baker, LADC
• Hoyt C Bingham, LMT
• Carly Bryan, MA
• Cornerstone Care of New England LLC
• Dr George J Schuetz
• Margaret Dunn, LADC
• Kimberly Anne Estes, LICSW

• All providers in Wilder, VT
• Medical Physician Assistant in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.