Individual provider Active NPI

Carlene Gleason Looney, FNP

  • Family Nurse Practitioner
  • Rutland, VT
National Provider Identifier
1336856442
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
101.013.6604 Issued in VT
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

Updated by the provider on Oct 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0OtherVTN/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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240222001300 VT Practitioner - Nurse Practitioner 1658715222 Reassigns benefits to 1 organization

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
DRS Peter and Lisa Hogenkamp PCGroup PAC ID 3678675766, 6 clinicians

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. Home health agency, Rutland, VT, CCN 477007

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
026.0028578VTMDGeneral Practice Registered Nurse
101.013.6604VTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
DRS Peter and Lisa Hogenkamp PC CurrentSince Jan 23, 2024 Accepting new patients

Locations

10 Commons St
Rutland, VT 05701
Phone (802) 432-8445

Interoperability endpoints

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.