NPIMap

Individual provider Active NPI

Robin L Myers, APRN

  • Nurse Practitioner
  • Brandon, VT
National Provider Identifier
1609896604
Registry record updated Aug 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1010021213 Issued in VT
Practice address
420 Grove St
Brandon Internal Medicine
Brandon, VT 05733-9062
Phone
(802) 247-6305
Fax
(802) 247-6040
NPI assigned
Jul 20, 2006
Last updated
Aug 8, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1010021213 VT Primary

Addresses

Primary practice location

420 Grove St
Brandon Internal Medicine
Brandon, VT 05733-9062

Mailing address

71 Allen Pond
Suite 403
Rutland, VT 05701-4570
Phone (802) 772-4414

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
I20040416000566 VT Practitioner - Nurse Practitioner 0042204943 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health Centers of the Rutland Region IncGroup PAC ID 2961467386, shared by 9 NPIs, 103 clinicians

Practice addresses (Care Compare)

1 General Wing Rd
Rutland, VT 05701-4681
Phone (802) 773-9131

275 Route 30 N
Bomoseen, VT 05732-9647
Phone (802) 468-5641

278 VT Route 149
West Pawlet, VT 05775-9798
Phone (802) 645-0580

420 Grove St
Brandon, VT 05733-9062
Phone (802) 247-6305

71 Allen St
Suite 403
Rutland, VT 05701-4570
Phone (802) 772-7992

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1010021213VTMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Centers of the Rutland Region, Inc. CurrentSince Oct 1, 2004 Accepting new patients
Community Health Centers of the Rutland Region, Inc. CurrentSince Oct 1, 2004 Accepting new patients
Community Health Centers of the Rutland Region Inc CurrentSince Jul 1, 2011 Accepting new patients
Community Health Centers of the Rutland Region, Inc. CurrentSince Dec 26, 2011 Accepting new patients
Rutland Regional Health Services Past Accepting new patients

Locations

275 VT 30 N
Bomoseen, VT 05732
Phone (802) 468-5641

1 General Wing Rd
Rutland, VT 05701
Phone (802) 773-9131

231 N Main St
Rutland, VT 05701
Phone (800) 468-9118

71 Allen St
Ste 402
Rutland, VT 05701
Phone (800) 468-9118

71 Allen St
Ste 403
Rutland, VT 05701
Phone (802) 772-4414

2987 Vt Route 22A
Shoreham, VT 05770
Phone (802) 897-7000

278 Vt Route 149
West Pawlet, VT 05775
Phone (800) 468-9118

Interoperability endpoints

  • Direct secure messaging: rmyers@chcrr.medentdirect.com

Organizations & group practices 6

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 26

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

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470614400000",
    "number": "1609896604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 ALLEN POND",
            "address_2": "SUITE 403",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014570",
            "telephone_number": "802-772-4414",
            "fax_number": "802-772-7973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 GROVE ST",
            "address_2": "BRANDON INTERNAL MEDICINE",
            "city": "BRANDON",
            "state": "VT",
            "postal_code": "057339062",
            "telephone_number": "802-247-6305",
            "fax_number": "802-247-6040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "ROBIN",
        "middle_name": "L",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2016-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VT",
            "license": "1010021213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, VT

Sources for this page

Verify at the official NPI Registry.