Active NPI
Margaret Russell, PA
- Medical Physician Assistant
- Burlington, VT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 0550030357
- Practice address
- 617 Riverside Ave
Burlington, VT 05401-1601 - Phone
- (802) 864-6309
- Fax
- (802) 860-4324
- NPI assigned
- Oct 10, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 0550030357 | VT | Primary |
Addresses
Primary practice location
617 Riverside Ave
Burlington, VT 05401-1601
Mailing address
617 Riverside Ave
Burlington, VT 05401-1601
Phone (802) 264-8158
Other practice location 1
76 Glen Rd
Burlington, VT 05401-4131
Phone (802) 864-7467
Other practice location 2
52 Community Ln
South Hero, VT 05486-4418
Phone (802) 372-4687
Other practice location 3
789 Pine St
Burlington, VT 05401-4924
Phone (802) 864-0693
Other practice location 4
87 Main St
Essex Junction, VT 05452-3234
Phone (802) 404-1350
Other practice location 5
368 Dorset St Ste 1
South Burlington, VT 05403-6236
Phone (802) 860-1441
Other practice location 6
32 Malletts Bay Ave Ste B
Winooski, VT 05404-1960
Phone (802) 655-4422
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08V126 | Other | VT | MVP |
| 29383 | Other | VT | VERMONT MANAGED CARE |
| 9000277 | Medicaid | VT | |
| 29383 | Other | VT | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- University of Colorado School of Medicine, Denver, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
617 Riverside Ave
Burlington, VT 05401-1601
Phone (802) 864-6309
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0550030357 | VT | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Centers of Burlington Inc | Current | Accepting new patients | |
| Community Health Centers of Burlington Inc | Past | Accepting new patients | |
| University of Vermont Medical Center Inc | Past | Accepting new patients |
Locations
617 Riverside Ave
Ste 200
Burlington, VT 05401
617 Riverside Ave
Burlington, VT 05401
Phone (802) 264-8158
76 Glen Rd
Burlington, VT 05401
Phone (802) 528-1092
789 Pine St
Burlington, VT 05401
Phone (802) 264-1052
87 Main St
Essex Junction, VT 05452
Phone (802) 404-1350
368 Dorset St
Ste 1
South Burlington, VT 05403
Phone (802) 860-1441
32 Malletts Bay Ave
Ste B
Winooski, VT 05404
Phone (802) 655-4422
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Burlington, VT
- NPI 1689678963
-
dba Community Health Centers - Pharmacy
- Community/Retail Pharmacy
- South Burlington, VT
- NPI 1659190924
-
- Federally Qualified Health Center (FQHC)
- Burlington, VT
- NPI 1083832851
-
dba Uvm Medical Center
- Internal Medicine Physician
- Burlington, VT
- NPI 1659309615
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755648000000",
"number": "1609963537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "617 RIVERSIDE AVE",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "054011601",
"telephone_number": "802-264-8158",
"fax_number": "802-860-4313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "617 RIVERSIDE AVE",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "054011601",
"telephone_number": "802-864-6309",
"fax_number": "802-860-4324"
}
],
"practiceLocations": [
{
"address_1": "76 Glen Rd",
"address_purpose": "LOCATION",
"city": "Burlington",
"state": "VT",
"postal_code": "054014131",
"country_code": "US",
"telephone_number": "802-864-7467",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "52 Community Ln",
"address_purpose": "LOCATION",
"city": "South Hero",
"state": "VT",
"postal_code": "054864418",
"country_code": "US",
"telephone_number": "802-372-4687",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "789 Pine St",
"address_purpose": "LOCATION",
"city": "Burlington",
"state": "VT",
"postal_code": "054014924",
"country_code": "US",
"telephone_number": "802-864-0693",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "87 Main St",
"address_purpose": "LOCATION",
"city": "Essex Junction",
"state": "VT",
"postal_code": "054523234",
"country_code": "US",
"telephone_number": "802-404-1350",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "368 Dorset St Ste 1",
"address_purpose": "LOCATION",
"city": "South Burlington",
"state": "VT",
"postal_code": "054036236",
"country_code": "US",
"telephone_number": "802-860-1441",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "32 Malletts Bay Ave Ste B",
"address_purpose": "LOCATION",
"city": "Winooski",
"state": "VT",
"postal_code": "054041960",
"country_code": "US",
"telephone_number": "802-655-4422",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUSSELL",
"first_name": "MARGARET",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-10",
"last_updated": "2025-08-20",
"certification_date": "2025-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "VT",
"license": "0550030357",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "08V126",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VERMONT MANAGED CARE",
"identifier": "29383",
"state": "VT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9000277",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "29383",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Burlington, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.