Active NPI
Carlene Gleason Looney, FNP
- Family Nurse Practitioner
- Rutland, VT
National Provider Identifier
1336856442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 101.013.6604
- Practice address
- 10 Commons St
Rutland, VT 05701-4651 - Phone
- (802) 747-3359
- NPI assigned
- Oct 31, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | 026.0028578 | VT | |
| Family Nurse Practitioner | 363LF0000X | 101.013.6604 | VT | Primary |
Addresses
Primary practice location
10 Commons St
Rutland, VT 05701-4651
Mailing address
10 Commons St
Rutland, VT 05701-4651
Phone (802) 747-3359
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0 | Other | VT | N/A |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10 Commons St
Rutland, VT 05701-4651
Phone (802) 747-3359
Hospital & facility affiliations
- Vna & Hospice of the Southwest Region, Inc.
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 026.0028578 | VT | MD | General Practice Registered Nurse |
| 101.013.6604 | VT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DRS Peter and Lisa Hogenkamp PC | Current | Accepting new patients |
Locations
10 Commons St
Rutland, VT 05701
Phone (802) 432-8445
Interoperability endpoints
- clooney@drshogenkamp.medentdirect.com
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Rutland, VT
- NPI 1679636765
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Rutland, VT
- NPI 1407856800
-
- Public Health or Welfare Agency
- Rutland, VT
- NPI 1578743621
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696291200000",
"number": "1336856442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 COMMONS ST",
"city": "RUTLAND",
"state": "VT",
"postal_code": "057014651",
"telephone_number": "802-747-3359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 COMMONS ST",
"city": "RUTLAND",
"state": "VT",
"postal_code": "057014651",
"telephone_number": "802-747-3359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOONEY",
"first_name": "CARLENE",
"middle_name": "GLEASON",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-31",
"last_updated": "2023-10-03",
"certification_date": "2023-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": "VT",
"license": "026.0028578",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VT",
"license": "101.013.6604",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rutland, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.
- 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.