Katja A Von Sitas, PA
Individual provider Active NPI Physician Assistant · South Burlington, VT
NPI 1457594020 · NPPES record last updated Mar 18, 2021
Key facts
- NPI
- 1457594020
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 055-00300963 (VT)
- Practice address
- 1775 Williston Rd Ste 110
South Burlington, VT 05403-6491 - Phone
- (877) 698-8496
- Fax
- (802) 862-9637
- NPI assigned
- Apr 13, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Philadelphia College of Osteopathic Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Vermont Gynecology PC
Practice addresses (Care Compare)
1775 Williston Rd
South Burlington, VT 05403-6491
Phone (802) 735-1252
Hospital & facility affiliations
- Univ. of Vermont - Fletcher Allen Health Care
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.39 of 100
- Quality
- 72.51
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 55.45
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 |
|---|---|---|---|---|
| I20090507000135 | VT | Practitioner - Physician Assistant | 0749338416 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 055-00300963 | VT | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alder Brook Family Health P.C. | Past |
Accepting new patients | |
| Cohealth Inc | Past | Accepting new patients | |
| Leonard Tremblay, MD PLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 055-00300963 | VT | Yes |
Addresses
Primary practice location
1775 Williston Rd Ste 110
South Burlington, VT 05403-6491
Mailing address
28 Park Ave
Williston, VT 05495-9701
Phone (802) 878-1008
Other practice location 1
53 Fairfax Rd
Saint Albans, VT 05478-4405
Phone (802) 524-3215
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 055-00300963 | Other | VT | STATE PA CERTIFICATION |
Other providers in South Burlington, VT
- Vermont Mindfulness and Psychotherapy L.L.C.
- Vermont Open MRI
- Vermont Pain Management PC
- Vermont Psychological Solutions, PLC
- Taylor Vigneault
- Julie Melissa Wade
- Megan Lea Waite
- Walgreen Co
- Carmen Walker
- Patrick Walsh
All providers in South Burlington, VT · Physician Assistant in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 18, 2021. 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.