Patricia Mary Kijak, APRN
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Brattleboro, VT
NPI 1457073108 · NPPES record last updated Aug 12, 2026
Key facts
- NPI
- 1457073108
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 117935-23 (NH)
- Practice address
- 1 Anna Marsh Lane
Brattleboro, VT 05301 - Phone
- (802) 257-7785
- NPI assigned
- Sep 19, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Brattleboro Retreat
Practice addresses (Care Compare)
22 Anna Marsh LN
Dummerston, VT 05301-3292
Phone (802) 258-4391
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230104002293 | VT | Practitioner - Nurse Practitioner | 6507236791 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brattleboro Retreat | Current |
Accepting new patients | |
| Rutland Hospital, Inc. | Current |
Accepting new patients | |
| Community Health Centers of the Rutland Region Inc | Current |
Accepting new patients | |
| Community Health Centers of the Rutland Region Inc | Current |
Accepting new patients | |
| Brattleboro Retreat | Past |
Accepting new patients | |
| Rutland Hospital, Inc. | Past | Accepting new patients |
Locations
22 Anna Marsh Ln
Dummerston, VT 05301
Phone (802) 258-3700
1 Anna Marsh Ln
Dummerston, VT 05301
51 Tennis Way
East Dorset, VT 05253
Phone (802) 366-8195
231 N Main St
Rutland, VT 05701
Phone (800) 468-9118
160 Allen St
Rutland, VT 05701
71 Allen St
Ste 402
Rutland, VT 05701
Phone (800) 468-9118
215 Stratton Rd
Rutland, VT 05701
Phone (802) 773-3386
2987 Vt Route 22A
Shoreham, VT 05770
Phone (802) 897-7000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 117935-23 | NH | Yes |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 0.26.0143292 | VT |
Addresses
Primary practice location
1 Anna Marsh Lane
Brattleboro, VT 05301
Mailing address
1 Anna Marsh Lane
Brattleboro, VT 05302
Phone (802) 258-7785
Other practice location 1
1 Medical Center Dr
Lebanon, NH 03756-0001
Phone (603) 650-5000 ext. 05000
Other providers in Brattleboro, VT
- Dawn M Kersula
- Shannon Ketch
- Ali Khanafer
- Christine Kierstead
- Heather Marie Kierstead
- Mark J Kilgallon
- Killy Bascom, Licsw, PLLC
- Lynde Harrison Kimball
- Michael Damon Kindopp
- Susan Beth Kinnersley
All providers in Brattleboro, VT · Psychiatric/Mental Health Nurse Practitioner in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 12, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.