Active NPI
Marc Belisle
- Nurse Practitioner
- Berlin, VT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 101.0134723
- Practice address
- 130 Fisher Rd Unit 1
Berlin, VT 05602-8132 - Phone
- (802) 371-4264
- NPI assigned
- Dec 5, 2017
- Last updated
- Jul 9, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 101.0134723 | VT | Primary |
| Family Nurse Practitioner | 363LF0000X | APRN01735 | RI |
Addresses
Primary practice location
130 Fisher Rd Unit 1
Berlin, VT 05602-8132
Mailing address
117 Ellenfield St Ste 101
Providence, RI 02905-4541
Phone (401) 444-6779
Other practice location 1
115 Porter Dr
Middlebury, VT 05753-8629
Phone (802) 388-5678
Other practice location 2
111 Colchester Ave
Burlington, VT 05401-1473
Phone (802) 847-0000
Other practice location 3
1360 W Main Rd
Middletown, RI 02842-6301
Phone (401) 606-3110
Other practice location 4
790 College Pkwy
Colchester, VT 05446-3007
Phone (802) 847-1170
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
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1311 Barre-Montpelier Rd
Suite 200
Berlin, VT 05602
Phone (802) 371-4239
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Vermont Medical Center Inc | Current | Accepting new patients | |
| Springfield Hospital | Current | Accepting new patients | |
| Bluewater Emergency Partners of Brunswick, LLC | Current | Accepting new patients | |
| Hoeppner Physical Therapy Limited Partnership | Current | Accepting new patients | |
| Springfield Hospital .Inc | Current | Accepting new patients |
Locations
77 Vine St
Barre, VT 05641
Phone (802) 225-1266
130 Fisher Rd
#C
Berlin, VT 05602
Phone (802) 225-5400
130 Fisher Rd
Unit 1
Berlin, VT 05602
Phone (802) 225-1743
150 Kennedy Dr
South Burlington, VT 05403
Phone (802) 448-9370
25 Ridgewood Rd
Springfield, VT 05156
Phone (780) 281-9593
Interoperability endpoints
- mbelisle43630@direct.southcoast.org
- mbelisle480366@direct.uvmhealth.org
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Berlin, VT
- NPI 1023028784
-
- Critical Access Hospital Clinic/Center
- Springfield, VT
- NPI 1033225875
-
- Emergency Medicine Physician
- Brunswick, ME
- NPI 1043640204
VT
-
- Physical Therapist
- South Burlington, VT
- NPI 1427162957
-
- Critical Access Hospital
- Springfield, VT
- NPI 1982743969
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Berlin, VT
- NPI 1508845637
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783555200000",
"number": "1649785262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 ELLENFIELD ST STE 101",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029054541",
"telephone_number": "401-444-6779",
"fax_number": "401-444-6912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 FISHER RD UNIT 1",
"city": "BERLIN",
"state": "VT",
"postal_code": "056028132",
"telephone_number": "802-371-4264"
}
],
"practiceLocations": [
{
"address_1": "115 Porter Dr",
"address_purpose": "LOCATION",
"city": "Middlebury",
"state": "VT",
"postal_code": "057538629",
"country_code": "US",
"telephone_number": "802-388-5678",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "111 Colchester Ave",
"address_purpose": "LOCATION",
"city": "Burlington",
"state": "VT",
"postal_code": "054011473",
"country_code": "US",
"telephone_number": "802-847-0000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1360 W Main Rd",
"address_purpose": "LOCATION",
"city": "Middletown",
"state": "RI",
"postal_code": "028426301",
"country_code": "US",
"telephone_number": "401-606-3110",
"fax_number": "401-619-8969",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "790 College Pkwy",
"address_purpose": "LOCATION",
"city": "Colchester",
"state": "VT",
"postal_code": "054463007",
"country_code": "US",
"telephone_number": "802-847-1170",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BELISLE",
"first_name": "MARC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-12-05",
"last_updated": "2026-07-09",
"certification_date": "2026-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "VT",
"license": "101.0134723",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "RI",
"license": "APRN01735",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Berlin, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; 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.