NPIMap

Individual provider Active NPI

Eli Blinn Avery, APRN

  • Family Nurse Practitioner
  • St Johnsbury, VT
National Provider Identifier
1679063069
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
101.0134688 Issued in VT
Practice address
185 Sherman Dr Ste 1
St Johnsbury, VT 05819-9811
Phone
(802) 748-5041
Fax
(802) 748-5094
NPI assigned
May 11, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 101.0134688 VT Primary

Addresses

Primary practice location

185 Sherman Dr Ste 1
St Johnsbury, VT 05819-9811

Mailing address

165 Sherman Dr
St Johnsbury, VT 05819-9811
Phone (802) 748-9405

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220119000531 VT Practitioner - Nurse Practitioner 5890042485 Reassigns benefits to 1 organization

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
Northern Counties Health Care IncGroup PAC ID 2860300936, 48 clinicians

Practice addresses (Care Compare)

165 Sherman Dr
Saint Johnsbury, VT 05819-9811

185 Sherman Dr
Saint Johnsbury, VT 05819-9811
Phone (802) 748-5041

26 Cedar LN
Danville, VT 05828-9751
Phone (802) 684-2275

Hospital & facility affiliations

  • Caledonia Home Health Care Home health agency, Saint Johnsbury, VT, CCN 477010
  • Northeastern Vermont Regional Hospital Hospital, Saint Johnsbury, VT, CCN 471303

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
101.0134688VTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Counties Health Care Inc CurrentSince Jan 17, 2022 Accepting new patients
Northern Counties Health Care, Inc. CurrentSince Jan 17, 2022 Accepting new patients
Northern Counties Health Care, Inc. PastSince Oct 15, 2023 Accepting new patients
Northern Counties Health Care Past Accepting new patients
East Morgan County Hospital Past Accepting new patients

Locations

26 Cedar Ln
Danville, VT 05828
Phone (802) 684-2275

185 Sherman Dr
#1
St Johnsbury, VT 05819
Phone (802) 748-5041

165 Sherman Dr
St Johnsbury, VT 05819
Phone (802) 748-9405

185 Sherman Dr
St Johnsbury, VT 05819
Phone (802) 748-5041

Interoperability endpoints

  • Direct secure messaging: eli.blinn.avery.1@28542.direct.athenahealth.com

Organizations & group practices 12

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 4

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": "1525996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786320000000",
    "number": "1679063069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 SHERMAN DR",
            "city": "ST JOHNSBURY",
            "state": "VT",
            "postal_code": "058199811",
            "telephone_number": "802-748-9405",
            "fax_number": "802-748-4540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 SHERMAN DR STE 1",
            "city": "ST JOHNSBURY",
            "state": "VT",
            "postal_code": "058199811",
            "telephone_number": "802-748-5041",
            "fax_number": "802-748-5094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVERY",
        "first_name": "ELI",
        "middle_name": "BLINN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-11",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VT",
            "license": "101.0134688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Johnsbury, VT

Sources for this page

Verify at the official NPI Registry.