Individual provider Active NPI

Tina Brownley-Stevenson

  • Family Nurse Practitioner
  • Essex Junction, VT
National Provider Identifier
1730549031
Registry record updated Feb 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
101.0116404 Issued in VT
Practice address
30 Roscoe CT
Essex Junction, VT 05452-3520
Phone
(802) 238-6796
NPI assigned
Feb 29, 2016
Last updated
Feb 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2024

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 101.0116404 VT Primary

Addresses

Primary practice location

30 Roscoe CT
Essex Junction, VT 05452-3520

Mailing address

30 Roscoe CT
Essex Junction, VT 05452-3520

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
I20160420000178 VT Practitioner - Nurse Practitioner 0840598108 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

82 E View Lane
3 CVMC Family Psychiatry
Berlin, VT 05602
Phone (802) 225-1266

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
90.31
Improvement activities
40
Cost
88.17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
101.0116404VTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Vermont Medical Center Inc CurrentSince Oct 25, 2024 Accepting new patients
Northeast Kingdom Human Services Inc CurrentSince Feb 17, 2020 Accepting new patients
Supportive Care of Vermont LLC CurrentSince Oct 9, 2023 Accepting new patients

Locations

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

130 Fisher Rd
#C
Berlin, VT 05602
Phone (802) 225-5400

2225 Portland St
St Johnsbury, VT 05819
Phone (802) 748-3181

Interoperability endpoints

  • Direct secure messaging: tbrownleystevenson83568@direct.uvmhealth.org

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 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": "1456704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706918400000",
    "number": "1730549031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 ROSCOE CT",
            "city": "ESSEX JUNCTION",
            "state": "VT",
            "postal_code": "054523520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 ROSCOE CT",
            "city": "ESSEX JUNCTION",
            "state": "VT",
            "postal_code": "054523520",
            "telephone_number": "802-238-6796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWNLEY-STEVENSON",
        "first_name": "TINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-29",
        "last_updated": "2024-02-03",
        "certification_date": "2024-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VT",
            "license": "101.0116404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Essex Junction, VT

Sources for this page

Verify at the official NPI Registry.