Lisa Campanella-Coppo, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

25MA07345700 Issued in NJ

Practice address

100 Hospital Dr
Bennington, VT 05201-5004

Phone

(802) 447-5300

NPI assigned

Sep 1, 2006

Last updated

Aug 20, 2025By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, VT2 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

Specialty

Emergency Medicine

Education

New York University School of Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southwestern Vermont Medical Center, IncGroup PAC ID 0143138446, shared by 3 NPIs, 174 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Southwestern Vermont Medical Center Hospital, Bennington, VT, CCN 470012

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lisa.campanella-coppo.1@33201.direct.athenahealth.com

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.

• Southwestern Vermont Medical Center Inc.

  • Internal Medicine Physician
  • Bennington, VT
  • NPI 1184994162
  Medicare reassignment NPD
• Southwestern Vermont Medical Center Inc.

  • General Acute Care Hospital
  • Bennington, VT
  • NPI 1205865789
  Medicare reassignment NPD
• Emergency Physicians of Englewood, PC

  • Emergency Medicine Physician
  • Englewood, NJ
  • NPI 1891046264
  Medicare reassignment NPD
• Lisa M. Campanella-Coppo, MD Functional Medicine & Wellness, PC

  dba Functional Medicine and Wellness, PC

  • General Practice Physician
  • Wayne, NJ
  • NPI 1851072037
  NPD Authorized official
• Southwestern Vermont Medical Center, Inc

  dba SVMC Orthopaedics

  • Orthopaedic Surgery Physician
  • Bennington, VT
  • NPI 1487930632
  NPD (past)
• Phelps Memorial Hospital Association

  dba Phelps Professional Services

  • Internal Medicine Physician
  • Sleepy Hollow, NY
  • NPI 1003908658
  NPD (past)
• Phelps Memorial Hospital Association

  dba Phelps Memorial Hospital Emergency Physicians

  • Emergency Medicine Physician
  • Sleepy Hollow, NY
  • NPI 1205851821
  NPD (past)

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

• Southwestern Vermont Medical Center Inc.

  • General Acute Care Hospital
  • Bennington, VT
  • NPI 1205865789
  Care Compare affiliation

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1720180623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL DR",
            "city": "BENNINGTON",
            "state": "VT",
            "postal_code": "052015004",
            "telephone_number": "802-447-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL DR",
            "city": "BENNINGTON",
            "state": "VT",
            "postal_code": "052015004",
            "telephone_number": "802-447-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPANELLA-COPPO",
        "first_name": "LISA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VT",
            "license": "042.0014627",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MA07345700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda A. Burrows, LICSW
• Jason Bushee, PHARMD
• Caitlin Cadematori
• Katrina Elizabeth Cahoon, FNP-C
• Calming Connections PLLC
• Mary Campbell, CAA
• Kirsten Leanne Carle, N.D.
• Mary Ann Carlson
• Patricia Carpenter, RN
• Kacie Carr

• Emergency Medicine Physician in Bennington, VT
• Providers in Bennington, VT by specialty
• Emergency Medicine Physician in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; 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.