Individual provider Active NPI

Andrea Van Buren Regan, MD

  • Family Medicine Physician
  • Charlotte, VT
National Provider Identifier
1669593125
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0420011445 Issued in VT
Practice address
527 Ferry Rd
Charlotte, VT 05445-9555
Phone
(802) 425-2781
NPI assigned
Apr 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 38108 NH
Family Medicine Physician 207Q00000X 0420011445 VT Primary

Addresses

Primary practice location

527 Ferry Rd
Charlotte, VT 05445-9555

Mailing address

PO Box 38
Charlotte, VT 05445-0038

Other practice location 1

1 Medical Center Dr
Lebanon, NH 03756-0001
Phone (603) 650-5000

Other identifiers 1

IdentifierTypeStateIssuer
1014990MedicaidVT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT, NH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080827000276 VT Practitioner - Family Practice 2769558766 Reassigns benefits to 2 organizations
I20250827001111 NH Practitioner - Neurology 2769558766 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mary Hitchcock Memorial HospitalGroup PAC ID 4486561164, 1,269 clinicians

Practice addresses (Care Compare)

1 Medical Ctr Dr
Lebanon, NH 03756-1000
Phone (603) 650-5000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
38108NHMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Hitchcock Memorial Hospital CurrentSince Aug 19, 2025 Accepting new patients
Dartmouth-Hitchcock Clinic CurrentSince Aug 19, 2025 Accepting new patients
Mary Hitchcock Memorial Hospital Current Accepting new patients
Evergreen Family Health Partners Family Medicine CurrentSince Oct 1, 2017 Accepting new patients
Dartmouth-Hitchcock Clinic CurrentSince Aug 19, 2025 Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince Aug 19, 2025 Accepting new patients
University of Vermont Medical Center Inc Family Medicine CurrentSince Jan 10, 2024 Accepting new patients
Alder Brook Family Health P.C. Family Medicine PastSince Feb 8, 2015 Accepting new patients

Locations

1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922

1 S Prospect St
Burlington, VT 05401
Phone (802) 847-4531

111 Colchester Ave
Burlington, VT 05401
Phone (802) 656-2415

8 Essex Way
Ste 201
Essex Junction, VT 05452
Phone (802) 872-7100

426 Industrial Ave
Ste 130
Williston, VT 05495
Phone (518) 593-7466

Organizations & group practices 8

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1669593125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 38",
            "city": "CHARLOTTE",
            "state": "VT",
            "postal_code": "054450038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 FERRY RD",
            "city": "CHARLOTTE",
            "state": "VT",
            "postal_code": "054459555",
            "telephone_number": "802-425-2781"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "NH",
            "postal_code": "037560001",
            "country_code": "US",
            "telephone_number": "603-650-5000",
            "fax_number": "603-640-1228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REGAN",
        "first_name": "ANDREA",
        "middle_name": "VAN BUREN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NH",
            "license": "38108",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VT",
            "license": "0420011445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1014990",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, VT

Sources for this page

Verify at the official NPI Registry.