Individual provider Active NPI

Margaret Russell, PA

  • Medical Physician Assistant
  • Burlington, VT
National Provider Identifier
1609963537
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0550030357 Issued in VT
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

Updated by the provider on Aug 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
08V126OtherVTMVP
29383OtherVTVERMONT MANAGED CARE
9000277MedicaidVT
29383OtherVTBLUE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101026000355 VT Practitioner - Physician Assistant 8820281538 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
0550030357VTMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Centers of Burlington Inc CurrentSince Feb 1, 1997 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.