Individual provider Active NPI

Suzanne Carlisle Stebenne, APRN

  • Family Nurse Practitioner
  • Hartland, VT
National Provider Identifier
1740514884
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
101.0110101 Issued in VT
Practice address
468 Route 12
Hartland, VT 05048-8109
Phone
(802) 698-8028
Fax
(781) 645-7164
NPI assigned
Sep 22, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 03402623 NH
Family Nurse Practitioner 363LF0000X 101.0110101 VT Primary

Addresses

Primary practice location

468 Route 12
Hartland, VT 05048-8109

Mailing address

468 Route 12
Hartland, VT 05048-8109
Phone (802) 698-8028

Other names 1

  • Suzanne Carlisle Professional name

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
I20161104001102 VT Practitioner - Nurse Practitioner 1658659511 Reassigns benefits to 1 organization
Practice locations: White River Junction, VT

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Vermont College of Medicine, 2000
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Hartland, VT 05048
Phone (802) 698-8028

212 Holiday Dr
Suite 4
White River Junction, VT 05001-2044

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
03402623NHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gifford Medical Center Inc. CurrentSince Oct 4, 2016 Accepting new patients
Gifford Medical Center Inc CurrentSince Oct 4, 2016 Accepting new patients
Suzanne Carlisle Stebenne Family PastSince Jun 21, 2017 Accepting new patients

Locations

1823 Vt Rte 107
Bethel, VT 05032
Phone (802) 234-2114

44 S Main St
Randolph, VT 05060
Phone (802) 728-4441

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 and National Provider Directory roles.

Hospital & facility affiliations 8

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": "1253577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1740514884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "468 ROUTE 12",
            "city": "HARTLAND",
            "state": "VT",
            "postal_code": "050488109",
            "telephone_number": "802-698-8028",
            "fax_number": "781-645-7164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "468 ROUTE 12",
            "city": "HARTLAND",
            "state": "VT",
            "postal_code": "050488109",
            "telephone_number": "802-698-8028",
            "fax_number": "781-645-7164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLISLE STEBENNE",
        "first_name": "SUZANNE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-22",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "03402623",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VT",
            "license": "101.0110101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUZANNE",
            "last_name": "CARLISLE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Hartland, VT

Sources for this page

Verify at the official NPI Registry.