Individual provider Active NPI

Wendy L Leffel, MD

  • Addiction Medicine (Family Medicine) Physician
  • Bennington, VT
National Provider Identifier
1598022204
Registry record updated Jun 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
042-0009231 Issued in VT
Practice address
339 Dewey St
Bennington, VT 05201-2253
Phone
(802) 445-3039
Fax
(802) 445-3026
NPI assigned
Apr 19, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) Physician 207QA0401X 042-0009231 VT Primary
Addiction Medicine (Family Medicine) Physician 207QA0401X 265685 MA

Addresses

Primary practice location

339 Dewey St
Bennington, VT 05201-2253

Mailing address

1151 NW Hill Rd
Pownal, VT 05261-9448
Phone (802) 558-5656

Other identifiers 1

IdentifierTypeStateIssuer
OVN1652MedicaidVT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
265685MAMDAddiction Medicine (Family Medicine) Physician
042-0009231VTMDAddiction Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Essential Wellness PLC Addiction Medicine Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1334793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467244800000",
    "number": "1598022204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 NW HILL RD",
            "city": "POWNAL",
            "state": "VT",
            "postal_code": "052619448",
            "telephone_number": "802-558-5656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 DEWEY ST",
            "city": "BENNINGTON",
            "state": "VT",
            "postal_code": "052012253",
            "telephone_number": "802-445-3039",
            "fax_number": "802-445-3026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEFFEL",
        "first_name": "WENDY",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-19",
        "last_updated": "2016-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "VT",
            "license": "042-0009231",
            "primary": true
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "MA",
            "license": "265685",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OVN1652",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bennington, VT

Sources for this page

Verify at the official NPI Registry.