Individual provider Active NPI

Abigail Provost

  • Family Nurse Practitioner
  • Hardwick, VT
National Provider Identifier
1679268015
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
101.0136309 Issued in VT
Practice address
4 Slapp HL
Hardwick, VT 05843-9300
Phone
(802) 472-3300
NPI assigned
Apr 11, 2023
Last updated
May 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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 101.0136309 VT Primary

Addresses

Primary practice location

4 Slapp HL
Hardwick, VT 05843-9300

Mailing address

340 Wallace Rd
Derby, VT 05829-9491
Phone (802) 274-1162

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230503002136 VT Practitioner - Nurse Practitioner 1951766591 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4 Slapp HL
Hardwick, VT 05843-9300
Phone (802) 472-3300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
101.0136309VTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Counties Health Care, Inc. CurrentSince May 8, 2023 Accepting new patients
Northern Counties Health Care Inc CurrentSince May 8, 2023 Accepting new patients
Northern Counties Health Care Past Accepting new patients

Locations

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

137 Main St
Ste 102
Newport, VT 05855
Phone (802) 995-2412

457 Railroad St
#2
St Johnsbury, VT 05819
Phone (802) 633-6351

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

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

Interoperability endpoints

  • Direct secure messaging: abigail.provost.1@28542.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 7

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": "1681171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1679268015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 WALLACE RD",
            "city": "DERBY",
            "state": "VT",
            "postal_code": "058299491",
            "telephone_number": "802-274-1162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 SLAPP HL",
            "city": "HARDWICK",
            "state": "VT",
            "postal_code": "058439300",
            "telephone_number": "802-472-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROVOST",
        "first_name": "ABIGAIL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-11",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VT",
            "license": "101.0136309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hardwick, VT

Sources for this page

Verify at the official NPI Registry.