Active NPI
Kelsey Rafferty, CAA
- Anesthesiologist Assistant
- Burlington, VT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiologist Assistant
- License
- 135.0000094
- Practice address
- 111 Colchester Ave
West Pavilion, Level 2
Burlington, VT 05401-1473 - Phone
- (802) 847-2415
- Fax
- (802) 847-5324
- NPI assigned
- Dec 15, 2021
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiologist Assistant | 367H00000X | 135.0000094 | VT | Primary |
| Anesthesiologist Assistant | 367H00000X | |||
| Anesthesiologist Assistant | 367H00000X | 135.0000096-SEC | VT |
Addresses
Primary practice location
111 Colchester Ave
West Pavilion, Level 2
Burlington, VT 05401-1473
Mailing address
1035 Dockside Dr
Lutz, FL 33559-6703
Phone (920) 264-2992
Other practice location 1
9330 FL-54
Trinity, FL 34655-3465
Phone (727) 834-4000
Other practice location 2
130 Fisher Rd
Berlin, VT 05602-9516
Phone (802) 371-4257
Other names 1
- Kelsey Atnip
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 Colchester Ave
Burlington, VT 05401-1473
Phone (802) 847-0000
Hospital & facility affiliations
- Univ. of Vermont - Fletcher Allen Health Care
- Central Vermont Medical Center
- HCA Florida Trinity Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Associate of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 135.0000094 | VT | MD | Anesthesiologist Assistant |
| 135.0000096-SEC | VT | MD | Anesthesiologist Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Vermont Medical Center Inc | Current | Accepting new patients | |
| Thomas M. Kerr MD PA | Past | Accepting new patients |
Locations
130 Fisher Rd
Berlin, VT 05602
Phone (802) 225-5820
111 Colchester Ave
Burlington, VT 05401
Phone (802) 656-2415
1 S Prospect St
Burlington, VT 05401
Phone (802) 847-4531
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Burlington, VT
- NPI 1659309615
-
- Vascular Surgery Physician
- Tampa, FL
- NPI 1790771970
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Berlin, VT
- NPI 1508845637
-
- General Acute Care Hospital
- Burlington, VT
- NPI 1568419976
-
- General Acute Care Hospital
- Trinity, FL
- NPI 1891741849
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763942400000",
"number": "1619636834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1035 DOCKSIDE DR",
"city": "LUTZ",
"state": "FL",
"postal_code": "335596703",
"telephone_number": "920-264-2992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 COLCHESTER AVE",
"address_2": "WEST PAVILION, LEVEL 2",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "054011473",
"telephone_number": "802-847-2415",
"fax_number": "802-847-5324"
}
],
"practiceLocations": [
{
"address_1": "9330 FL-54",
"address_purpose": "LOCATION",
"city": "Trinity",
"state": "FL",
"postal_code": "346553465",
"country_code": "US",
"telephone_number": "727-834-4000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "130 Fisher Rd",
"address_purpose": "LOCATION",
"city": "Berlin",
"state": "VT",
"postal_code": "056029516",
"country_code": "US",
"telephone_number": "802-371-4257",
"fax_number": "802-847-5324",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAFFERTY",
"first_name": "KELSEY",
"credential": "CAA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-15",
"last_updated": "2025-11-24",
"certification_date": "2025-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "VT",
"license": "135.0000094",
"primary": true
},
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "VT",
"license": "135.0000096-SEC",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KELSEY",
"last_name": "ATNIP",
"credential": "CAA",
"code": "1",
"type": "Former Name"
}
]
}
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 Nov 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.