NPIMap

Individual provider Active NPI

Jennifer B Peters, M.D.

  • Internal Medicine Physician
  • Morrisville, VT
National Provider Identifier
1528046968
Registry record updated Jul 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
204818 Issued in MA
Practice address
528 Washington Hwy
Morrisville, VT 05661-8973
Phone
(802) 888-8173
Fax
(802) 888-8365
NPI assigned
Jan 5, 2006
Last updated
Jul 18, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 204818 MA Primary
Internal Medicine Physician 207R00000X 0420011854 VT

Addresses

Primary practice location

528 Washington Hwy
Morrisville, VT 05661-8973

Mailing address

275 Sandwich St
C/O Cathy Grey
Plymouth, MA 02360-2183
Phone (508) 746-2000

Other identifiers 5

IdentifierTypeStateIssuer
409393OtherMATUFTS HEALTH PLAN
J22421OtherMABCBSMA
69997OtherMAHARVARD PILGRIM
0100862MedicaidMA
1016965MedicaidVT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091023000158 VT Practitioner - HospitalistPractitioner - Internal Medicine 6103963178 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
University of Utah School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Copley Hospital IncGroup PAC ID 9234125766, shared by 2 NPIs, 61 clinicians

Practice addresses (Care Compare)

528 Washington Hwy
Orthopaedics
Morrisville, VT 05661-8973
Phone (802) 888-8405

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
204818MAMDInternal Medicine Physician
0420011854VTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Copley Hospital, Inc CurrentSince Oct 10, 2020 Accepting new patients
Copley Hospital, Inc. Current Accepting new patients
Copley Hospital, Inc. Current Accepting new patients
Copley Hospital, Inc. Current Accepting new patients
Copley Hospital Inc Current Accepting new patients
Copley Hospital, Inc. CurrentSince Oct 10, 2020 Accepting new patients
Martha's Vineyard Hospital Current Accepting new patients
Jordan Physician Associates, Inc. Past Accepting new patients
Jordan Physician Associates, Inc. Internal Medicine Past Accepting new patients

Locations

528 Washington Hwy
Morrisville, VT 05661
Phone (802) 888-4231

189 Prouty Dr
Newport, VT 05855
Phone (802) 334-3569

Interoperability endpoints

  • Direct secure messaging: peters.jennifer.mvh@direct.partners.masshiway.net

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374105600000",
    "number": "1528046968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 SANDWICH ST",
            "address_2": "C/O CATHY GREY",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023602183",
            "telephone_number": "508-746-2000",
            "fax_number": "508-830-2502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 WASHINGTON HWY",
            "city": "MORRISVILLE",
            "state": "VT",
            "postal_code": "056618973",
            "telephone_number": "802-888-8173",
            "fax_number": "802-888-8365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "JENNIFER",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-05",
        "last_updated": "2013-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "204818",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VT",
            "license": "0420011854",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "409393",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSMA",
            "identifier": "J22421",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "69997",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0100862",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1016965",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morrisville, VT

Sources for this page

Verify at the official NPI Registry.