Active NPI
Spencer Proulx, CAA
- Anesthesiologist Assistant
- Bennington, VT
National Provider Identifier
1518801968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiologist Assistant
- Practice address
- 100 Hospital Dr
Bennington, VT 05201-5004 - Phone
- (802) 442-6361
- NPI assigned
- Apr 16, 2026
- Last updated
- Apr 16, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiologist Assistant | 367H00000X | Primary |
Addresses
Primary practice location
100 Hospital Dr
Bennington, VT 05201-5004
Mailing address
404 McChesney Ave Ext Apt 26-07
Troy, NY 12180-8887
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology Assistant
- Education
- Other, 2026
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
100 Hospital Dr
Bennington, VT 05201-5004
100 Hospital Dr
Bennington, VT 05201-5013
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776297600000",
"number": "1518801968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "404 MCCHESNEY AVE EXT APT 26-07",
"city": "TROY",
"state": "NY",
"postal_code": "121808887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 HOSPITAL DR",
"city": "BENNINGTON",
"state": "VT",
"postal_code": "052015004",
"telephone_number": "802-442-6361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROULX",
"first_name": "SPENCER",
"credential": "CAA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-04-16",
"last_updated": "2026-04-16",
"certification_date": "2026-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bennington, VT
- Price Chopper Operating Co of Vermont Inc (Price Chopper Pharmacy)
- Primary Care Health Partners
- Progressive Physical Therapy LLC
- Kristin Williams Propp, M.A.
- Louis Propp, PSY.D.
- Richard Joseph Provenzano, M.D.
- Tiffany Racicot
- Radiology Associates of Bennington Inc,
- Kimberly Ragonnet
- Aaron Ramirez, PH.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.