Individual provider Active NPI

William B Smith, FNP

  • Family Nurse Practitioner
  • Bennington, VT
National Provider Identifier
1720625833
Registry record updated Dec 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
101.0134428 Issued in VT
Practice address
100 Hospital Dr
Bennington, VT 05201-5013
Phone
(802) 442-6361
NPI assigned
Dec 9, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2019

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 101.0134428 VT Primary

Addresses

Primary practice location

100 Hospital Dr
Bennington, VT 05201-5013

Mailing address

100 Hospital Dr
Bennington, VT 05201-5013
Phone (802) 442-6361

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200130002133 VT Practitioner - Nurse Practitioner 1052747615 Reassigns benefits to 3 organizations
I20220824002197 NY Practitioner - Nurse Practitioner 1052747615 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
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)

100 Hospital Dr
Bennington, VT 05201-5004
Phone (802) 442-6361

332 Dewey St
Bennington, VT 05201-2225
Phone (802) 442-6314

5957 Main St
Manchester Center, VT 05255-8913
Phone (802) 362-4440

Hospital & facility affiliations

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
101.0134428VTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Twin Rivers Medical PC CurrentSince Apr 27, 2022 Accepting new patients
Southwestern Vermont Medical Center Inc. CurrentSince Jan 1, 2020 Accepting new patients
Twin Rivers Medical PC CurrentSince Apr 27, 2022 Accepting new patients
Southwestern Vermont Medical Center Inc. CurrentSince Jan 1, 2020 Accepting new patients
Southwestern Vermont Medical Center, Inc CurrentSince Dec 1, 2020 Accepting new patients

Locations

16 Danforth St
Hoosick Falls, NY 12090
Phone (518) 686-5002

140 Hospital Dr
Ste 116
Bennington, VT 05201
Phone (802) 447-1836

100 Hospital Dr
#44
Bennington, VT 05201
Phone (802) 442-4509

332 Dewey St
Bennington, VT 05201
Phone (802) 442-2034

120 Hospital Dr
Bennington, VT 05201
Phone (802) 440-4077

100 Hospital Dr
Bennington, VT 05201
Phone (802) 447-4509

5957 Main St
#7A
Manchester Center, VT 05255
Phone (802) 362-4440

5957 Main St
Manchestr Ctr, VT 05255
Phone (802) 362-4440

Interoperability endpoints

  • Direct secure messaging: william.smith.1@3744.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/3744/brand/4/csg/23/fhir/r4

Organizations & group practices 5

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 1

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": "1575849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575849600000",
    "number": "1720625833",
    "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": "052015013",
            "telephone_number": "802-442-6361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL DR",
            "city": "BENNINGTON",
            "state": "VT",
            "postal_code": "052015013",
            "telephone_number": "802-442-6361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "WILLIAM",
        "middle_name": "B",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-09",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VT",
            "license": "101.0134428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bennington, VT

Sources for this page

Verify at the official NPI Registry.