Active NPI
Rebecca A Nagle, NP
- Nurse Practitioner
- South Burlington, VT
National Provider Identifier
1346433851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 101-0027088
- Practice address
- 51 Timber LN
South Burlington, VT 05403-5201 - Phone
- (802) 864-0521
- Fax
- (802) 864-6475
- NPI assigned
- Aug 20, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 101-0027088 | VT | Primary |
Addresses
Primary practice location
51 Timber LN
South Burlington, VT 05403-5201
Mailing address
66 Knight LN Ste 10
Williston, VT 05495-9308
Phone (802) 872-4343
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1014315 | Medicaid | VT |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rnagle@pchpmd.medentdirect.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primary Care Health Partners - New York LLP | Past | Accepting new patients |
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
- Plattsburgh, NY
- NPI 1003861782
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1346433851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "66 KNIGHT LN STE 10",
"city": "WILLISTON",
"state": "VT",
"postal_code": "054959308",
"telephone_number": "802-872-4343",
"fax_number": "802-288-1144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 TIMBER LN",
"city": "SOUTH BURLINGTON",
"state": "VT",
"postal_code": "054035201",
"telephone_number": "802-864-0521",
"fax_number": "802-864-6475"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAGLE",
"first_name": "REBECCA",
"middle_name": "A",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-20",
"last_updated": "2023-03-07",
"certification_date": "2021-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "VT",
"license": "101-0027088",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1014315",
"state": "VT"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rnagle@pchpmd.medentdirect.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "51 Timber Ln",
"city": "South Burlington",
"state": "VT",
"country_code": "US",
"postal_code": "054035201",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in South Burlington, VT
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.