Individual provider Active NPI

Brigid Joanna Meehan-Brese

  • Family Nurse Practitioner
  • Randolph, VT
National Provider Identifier
1376274167
Registry record updated Aug 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
101.0135577 Issued in VT
Practice address
44 S Main St
Randolph, VT 05060-1381
Phone
(802) 728-7000
NPI assigned
Jun 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Nurse Practitioner 363LF0000X 101.0135577 VT Primary

Addresses

Primary practice location

44 S Main St
Randolph, VT 05060-1381

Mailing address

42 Center of Town Rd
Hartland, VT 05048-9595
Phone (802) 595-3862

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
I20220912001839 VT Practitioner - Nurse Practitioner 4688059686 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Vermont College of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gifford Health Care IncGroup PAC ID 2668624982, 37 clinicians

Practice addresses (Care Compare)

235 S Main St
Rochester, VT 05767-9683
Phone (802) 767-3704

Hospital & facility affiliations

  • Bayada Home Health Care, Inc. Home health agency, Rutland, VT, CCN 477019
  • Vna and Hospice of Vermont and New Hampshire Home health agency, White River Junction, VT, CCN 477002
  • Gifford Medical Center Hospital, Randolph, VT, CCN 471301
  • Mary Hitchcock Memorial Hospital Hospital, Lebanon, NH, CCN 300003
  • Rutland Regional Medical Center Hospital, Rutland, VT, CCN 470005

Merit-based Incentive Payment System (MIPS)

Final score
80.28 of 100Reported as group
Quality
58.32
Promoting interoperability
100
Improvement activities
40
Cost
66.48

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
101.0135577VTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gifford Health Care, Inc CurrentSince Jul 18, 2022 Accepting new patients
Gifford Health Care, Inc CurrentSince Jul 18, 2022 Accepting new patients
Gifford Health Care, Inc Past Accepting new patients

Locations

1823 Vt Rte 107
Bethel, VT 05032
Phone (802) 234-2114

44 S Main St
Randolph, VT 05060
Phone (802) 728-4441

235 S Main St
Rochester, VT 05767
Phone (802) 767-3704

Organizations & group practices 5

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 9

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": "1655856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1376274167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 CENTER OF TOWN RD",
            "city": "HARTLAND",
            "state": "VT",
            "postal_code": "050489595",
            "telephone_number": "802-595-3862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 S MAIN ST",
            "city": "RANDOLPH",
            "state": "VT",
            "postal_code": "050601381",
            "telephone_number": "802-728-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEEHAN-BRESE",
        "first_name": "BRIGID",
        "middle_name": "JOANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-22",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VT",
            "license": "101.0135577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Randolph, VT

Sources for this page

Verify at the official NPI Registry.