Active NPI
Elizabeth D Nowalk, NP
- Nurse Practitioner
- Burlington, VT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 101.0135007
- Practice address
- 617 Riverside Ave
Burlington, VT 05401-1601 - Phone
- (802) 864-6309
- NPI assigned
- Jul 1, 2019
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | F344654 | NY | |
| Nurse Practitioner | 363L00000X | 101.0135007 | VT | Primary |
Addresses
Primary practice location
617 Riverside Ave
Burlington, VT 05401-1601
Mailing address
617 Riverside Ave
Burlington, VT 05401-1601
Phone (802) 864-6309
Other practice location 1
1780 Hanshaw Rd
Ithaca, NY 14850-9105
Phone (607) 257-5858
Other practice location 2
789 Pine St
Burlington, VT 05401-4924
Phone (802) 864-0693
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | enowalk12589@direct-guthrie.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, VT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
617 Riverside Ave
Burlington, VT 05401-1601
Phone (802) 864-6309
Hospital & facility affiliations
- Univ. of Vermont - Fletcher Allen Health Care
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F344654 | NY | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Centers of Burlington Inc | Current | Accepting new patients | |
| Guthrie Medical Group, P.C. | Current | Accepting new patients | |
| Guthrie Medical Group, P.C. | Current | Accepting new patients | |
| Community Health Centers of Burlington Inc | Current | Accepting new patients | |
| Community Health Centers of Burlington Inc | Past | Accepting new patients | |
| University of Vermont Medical Center Inc | Past | Accepting new patients |
Locations
130 Center Way
Corning, NY 14830
Phone (607) 936-9971
1780 Hanshaw Rd
Ithaca, NY 14850
Phone (607) 257-5858
1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106
617 Riverside Ave
Ste 200
Burlington, VT 05401
789 Pine St
Burlington, VT 05401
Phone (802) 264-1052
617 Riverside Ave
Burlington, VT 05401
Phone (802) 264-8158
Interoperability endpoints
- elizabeth.nowalk.p1@direct.chcb.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- enowalk12589@direct-guthrie.org
Organizations & group practices 6
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
- Burlington, VT
- NPI 1689678963
-
- Multi-Specialty Clinic/Center
- Corning, NY
- NPI 1134178635
-
- Community/Retail Pharmacy
- South Burlington, VT
- NPI 1659190924
-
- General Practice Physician
- Sayre, PA
- NPI 1245246644
-
- Federally Qualified Health Center (FQHC)
- Burlington, VT
- NPI 1083832851
-
- Internal Medicine Physician
- Burlington, VT
- NPI 1659309615
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Burlington, VT
- NPI 1568419976
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755561600000",
"number": "1407418478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "617 RIVERSIDE AVE",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "054011601",
"telephone_number": "802-864-6309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "617 RIVERSIDE AVE",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "054011601",
"telephone_number": "802-864-6309"
}
],
"practiceLocations": [
{
"address_1": "1780 Hanshaw Rd",
"address_purpose": "LOCATION",
"city": "Ithaca",
"state": "NY",
"postal_code": "148509105",
"country_code": "US",
"telephone_number": "607-257-5858",
"fax_number": "607-257-1718",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "789 Pine St",
"address_purpose": "LOCATION",
"city": "Burlington",
"state": "VT",
"postal_code": "054014924",
"country_code": "US",
"telephone_number": "802-864-0693",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NOWALK",
"first_name": "ELIZABETH",
"middle_name": "D",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-01",
"last_updated": "2025-08-19",
"certification_date": "2025-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "F344654",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "VT",
"license": "101.0135007",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "enowalk12589@direct-guthrie.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1780 Hanshaw Rd",
"city": "Ithaca",
"state": "NY",
"country_code": "US",
"postal_code": "148509105",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Burlington, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; 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.