Justine Gadd, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

055-0030702 Issued in VT

Practice address

246 Granger Rd
Suite 2
Berlin, VT 05602-9516

Phone

(802) 225-5810

Fax

(802) 371-4821

NPI assigned

Jul 16, 2006

Last updated

May 8, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Physician Assistant

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Central Vermont Medical Center IncGroup PAC ID 9335138817, 233 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Central Vermont Medical Center Hospital, Barre, VT, CCN 470001

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Central Vermont Medical Center Inc

  • Family Medicine Physician
  • Berlin, VT
  • NPI 1023028784
  Medicare reassignment Care Compare group NPD

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

• Central Vermont Medical Center Inc

  • General Acute Care Hospital
  • Berlin, VT
  • NPI 1508845637
  Care Compare affiliation

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399507200000",
    "number": "1669499430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 547",
            "address_2": "CENTRAL VERMONT MEDICAL CENTER - FINANCE DEPT",
            "city": "BARRE",
            "state": "VT",
            "postal_code": "056410547",
            "telephone_number": "802-225-5810",
            "fax_number": "802-371-4821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 GRANGER RD",
            "address_2": "SUITE 2",
            "city": "BERLIN",
            "state": "VT",
            "postal_code": "056029516",
            "telephone_number": "802-225-5810",
            "fax_number": "802-371-4821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GADD",
        "first_name": "JUSTINE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-16",
        "last_updated": "2014-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VT",
            "license": "055-0030702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000196",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chelsea Maureen Fortunati, LICSW
• Brandon Eric Frank
• Douglas Aaron French, RN
• Stuart Friedman, LICSW
• Nina H Gaby, APRN-PMH
• Rachel Elizabeth Gaidys, MD
• Jacqueline Gallagher, PA
• Amanda Marie Galloway, LCMHC
• Phyllicia Garand, BA
• Roberta Garland, LICSW

• Physician Assistant in Berlin, VT
• Providers in Berlin, VT by specialty
• Physician Assistant in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2014; 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.

Verify at the official NPI Registry.