Individual provider Active NPI

Gena Zollman

  • Family Nurse Practitioner
  • Burlington, VT
National Provider Identifier
1417519158
Registry record updated Oct 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F06193191 Issued in VT
Practice address
183 Saint Paul St
Burlington, VT 05401
Phone
(802) 863-6326
NPI assigned
Jul 2, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F06193191 VT Primary

Addresses

Primary practice location

183 Saint Paul St
Burlington, VT 05401

Mailing address

183 Saint Paul St
Burlington, VT 05401-4636

Other practice location 1

90 Washington St
Barre, VT 05641-4239
Phone (802) 476-6696

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
I20191112000189 VT Practitioner - Nurse Practitioner 9739511858 Reassigns benefits to 1 organization

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
Planned Parenthood of Northern New England, Inc 41 clinicians

Practice addresses (Care Compare)

173 Saint Paul St
Burlington, VT 05401-4636
Phone (802) 863-6326

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F06193191VTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Planned Parenthood of Northern New England, Inc CurrentSince Oct 15, 2019 Accepting new patients
Planned Parenthood of Northern New England PastSince Oct 13, 2019 Accepting new patients
Planned Parenthood of Northern New England Past Accepting new patients

Locations

90 Washington St
Barre, VT 05641
Phone (802) 475-6696

6 High St
Brattleboro, VT 05301
Phone (802) 257-0534

173 Saint Paul St
Burlington, VT 05401
Phone (802) 863-6326

784 Hercules Dr
Colchester, VT 05446

11 Burnham Ave
Rutland, VT 05701
Phone (802) 775-2333

501 Portland St
St Johnsbury, VT 05819
Phone (802) 363-3209

79 S Main St
White River Junction, VT 05001
Phone (802) 281-6056

75 Talcott Rd
Ste 10
Williston, VT 05495
Phone (802) 879-4800

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1562025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570665600000",
    "number": "1417519158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 SAINT PAUL ST",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054014636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 SAINT PAUL ST",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "05401",
            "telephone_number": "802-863-6326"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "90 Washington St",
            "address_purpose": "LOCATION",
            "city": "Barre",
            "state": "VT",
            "postal_code": "056414239",
            "country_code": "US",
            "telephone_number": "802-476-6696",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZOLLMAN",
        "first_name": "GENA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-02",
        "last_updated": "2019-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VT",
            "license": "F06193191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, VT

Sources for this page

Verify at the official NPI Registry.