Susan F. Dumas, ADULT NURSE PRACTITI

Individual provider Active NPI Adult Health Nurse Practitioner · Rutland, VT

NPI 1477514362 · NPPES record last updated May 17, 2016

Key facts

NPI
1477514362
Entity type
Individual (NPI type 1)
Primary specialty
Adult Health Nurse Practitioner 363LA2200X
License
1010015655 (VT)
Practice address
92 Allen St
Rutland, VT 05701-4562
Phone
(802) 773-7502
Fax
(802) 773-7022
NPI assigned
Mar 30, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 4

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 20

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

92 Allen St
Rutland, VT 05701-4562
Phone (802) 774-8621

Hospital & facility affiliations

  • Vna & Hospice of the Southwest Region, Inc. Home health agency · Rutland, VT · CCN 477007
  • Rutland Regional Medical Center Hospital · Rutland, VT · CCN 470005
  • Porter Hospital Inc Hospital · Middlebury, VT · CCN 471307

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 IDStateProvider typePAC IDDetails
I20050823000626 VT Practitioner - Nurse Practitioner 1557392206 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Medical Clinic PLLC Current
since Mar 5, 2012
Accepting new patients
Center for Integrative Medicine,PLLC Adult Health Past
since Sep 23, 2019
Accepting new patients
Vermont Physicians Clinic Past Accepting new patients
Center for Integrative Medicine Past Accepting new patients

Locations

92 Allen St
Rutland, VT 05701
Phone (802) 773-4256

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 1010015655 VT Yes

Addresses

Primary practice location

92 Allen St
Rutland, VT 05701-4562

Mailing address

92 Allen St
Rutland, VT 05701-4562
Phone (802) 773-7502

Other identifiers

IdentifierTypeStateIssuer
5501740OtherVTMVP
1008529MedicaidVT
NP509503OtherVTMEDICARE PTAN

Other names

  • Susan Frances Babcock Former name

Other providers in Rutland, VT

All providers in Rutland, VT · Adult Health Nurse Practitioner in Vermont

Sources for this page

Verify at the official NPI Registry.