Jared Austin Leavitt, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

055-0030842 Issued in VT

Practice address

111 Colchester Ave
Burlington, VT 05401-1473

Phone

(802) 847-1237

Fax

(802) 847-1236

NPI assigned

Jul 12, 2006

Last updated

Jun 23, 2013By the provider in NPPES

Sex

Male

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, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northern Counties Health Care IncGroup PAC ID 2860300936, 48 clinicians

North Country Hospital and Health Center IncGroup PAC ID 9739073479, 50 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Orleans Essex Vna & Hospice Home health agency, Newport, VT, CCN 477018
• North Country Hospital and Health Center Hospital, Newport, VT, CCN 471304

Merit-based Incentive Payment System (MIPS)

Final score

83.39 of 100Reported as group

Quality

72.51

Promoting interoperability

100

Improvement activities

40

Cost

55.45

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jared.leavitt.1@28542.direct.athenahealth.com
• Direct secure messaging: jleavitt7456@direct.uvmhealth.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• North Country Hospital & Health Center Inc

  dba North Country Primary Care Newport

  • Internal Medicine Physician
  • Newport, VT
  • NPI 1417023904
  Medicare reassignment Care Compare group NPD
• Northern Counties Health Care Inc

  • Federally Qualified Health Center (FQHC)
  • St Johnsbury, VT
  • NPI 1649236225
  Medicare reassignment Care Compare group NPD
• University of Vermont Medical Center Inc

  dba Uvm Medical Center

  • Internal Medicine Physician
  • Burlington, VT
  • NPI 1659309615
  Medicare reassignment NPD
• North Country Hospital & Health Center Inc

  dba North Country Primary Care Barton Orleans

  • Rural Health Clinic/Center
  • Barton, VT
  • NPI 1104868892
  Medicare reassignment
• North Country Hospital & Health Center Inc

  • Critical Access Hospital
  • Newport, VT
  • NPI 1144251059
  NPD
• Northern Counties Health Care, Inc.

  dba Northern Express Care Newport

  • Federally Qualified Health Center (FQHC)
  • Newport, VT
  • NPI 1003564931
  NPD
• Northern Counties Health Care

  • Nurse Practitioner
  • St Johnsbury, VT
  • NPI 1609966944
  NPD (past)

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

• North Country Hospital & Health Center Inc

  • Critical Access Hospital
  • Newport, VT
  • NPI 1144251059
  Care Compare affiliation
• Orleans-Essex Vna & Hospice, Inc.

  • Home Health Agency
  • Newport, VT
  • NPI 1457469546
  Care Compare affiliation

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371945600000",
    "number": "1356376909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 COLCHESTER AVE",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054011473",
            "telephone_number": "802-847-1237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 COLCHESTER AVE",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054011473",
            "telephone_number": "802-847-1237",
            "fax_number": "802-847-1236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAVITT",
        "first_name": "JARED",
        "middle_name": "AUSTIN",
        "name_prefix": "Mr.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2013-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VT",
            "license": "055-0030842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Lewis Leahy, M.D.
• Sabrina Sydnor Leal, LICSW
• Ellyn Leamon, LICSW
• Nevin Leary
• Anna Leavey, APRN
• Andrea Jean Leblanc
• Laurie Whittaker Leclair, M.D.
• Eliana Leddy, DPT
• Angela Lee
• Avery Lee, MSW

• Physician Assistant in Burlington, VT
• Providers in Burlington, VT by specialty
• Physician Assistant in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2013; 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.