Grace Altebrando, R.N.
Individual provider Active NPI Family Nurse Practitioner · Berlin, VT
NPI 1609229707 · NPPES record last updated Jul 17, 2019
Key facts
- NPI
- 1609229707
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 101-0134266 (VT)
- Practice address
- 130 Fisher Rd Ste 3-1
Berlin, VT 05602-9000 - Phone
- (802) 225-7000
- NPI assigned
- Jul 13, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Central Vermont Medical Center Inc
Practice addresses (Care Compare)
1311 Barre Montpelier Rd
Berlin, VT 05602
1311 Barre Montpelier Road
400 CVMC Orthopedics and Spine Medicine
Berlin, VT 05602
Phone (802) 225-3970
246 Granger Rd
Berlin, VT 05602
82 E View Lane
3 CVMC Family Psychiatry
Berlin, VT 05602
Phone (802) 225-1266
87 Paine Mountain Dr
Green Mountain Family Practice
Northfield, VT 05663-5791
Phone (802) 485-4161
Hospital & facility affiliations
- Central Vermont Medical Center
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 |
|---|---|---|---|---|
| I20190814001581 | VT | Practitioner - Nurse Practitioner | 1052648052 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 702951 | NY | MD | Registered Nurse |
| 101-0134266 | VT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Partners in Integrative Healing PLLC | Current |
Accepting new patients | |
| University of Vermont Medical Center Inc | Current |
Accepting new patients | |
| Central Vermont Medical Center Inc | Current |
Accepting new patients | |
| Central Vermont Medical Center Inc | Current |
Accepting new patients |
Locations
246 Granger Rd
Ste 2
Barre, VT 05641
Phone (802) 225-5810
77 Vine St
Barre, VT 05641
Phone (802) 225-1266
130 Fisher Rd
Barre, VT 05641
Phone (802) 371-4235
225 S Main St
Barre, VT 05641
Phone (802) 476-9242
130 Fisher Rd
Ste 31
Berlin, VT 05602
Phone (802) 225-7000
130 Fisher Rd
Ste 1-4
Berlin, VT 05602
Phone (802) 371-5961
130 Fisher Rd
#C
Berlin, VT 05602
Phone (802) 225-5400
111 Colchester Ave
Burlington, VT 05401
Phone (802) 656-2415
1 S Prospect St
Burlington, VT 05401
Phone (802) 847-4531
147 State St
Montpelier, VT 05602
Phone (802) 321-3692
Interoperability endpoints
- galtebrando182809@direct.uvmhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 702951 | NY | |
| Family Nurse Practitioner | 363LF0000X | 101-0134266 | VT | Yes |
Addresses
Primary practice location
130 Fisher Rd Ste 3-1
Berlin, VT 05602-9000
Mailing address
11 Mile Rd
Suffern, NY 10901-3505
Phone (845) 608-5035
Other practice location 1
11 Mile Rd
Apt 1K
Suffern, NY 10901-3505
Phone (845) 608-5035
Other providers in Berlin, VT
- Kenneth Elliot Adler
- Elizabeth Afanasyev
- Aimee Nazebeh Ahari
- Michelle Alberghini
- Emily Josephine Alfano
- Mohammad Basil Amin
- Arkos Vermont, LLC
- Arthur J Esswein
- Eric L Asnis
- Christopher John Aubin
All providers in Berlin, VT · Family Nurse Practitioner in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2019. 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.