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Individual provider Active NPI

Susan Denise Williams, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Saint Albans, VT
National Provider Identifier
1740850361
Registry record updated Jun 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
101.0134871 Issued in VT
Practice address
9 Crest Rd
Saint Albans, VT 05478-9701
Phone
(802) 527-0753
Fax
(802) 524-2695
NPI assigned
Jun 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2023

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 101.0134871 VT Primary

Addresses

Primary practice location

9 Crest Rd
Saint Albans, VT 05478-9701

Mailing address

600 Blair Park Rd Ste 285
Williston, VT 05495-7586
Phone (802) 288-1140

Other names 1

  • Mrs. Susan Denise Benckert Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address swilliams@pchpmd.medent.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210827000486 VT Practitioner - Nurse Practitioner 9032514187 Reassigns benefits to 2 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
Northwestern Medical Center IncGroup PAC ID 5496714313, 105 clinicians
Primary Care Health Partners - Vermont LLPGroup PAC ID 7810896032, 21 clinicians

Practice addresses (Care Compare)

133 Fairfield St
Saint Albans, VT 05478-1726

9 Crest Rd
Saint Albans, VT 05478-9701
Phone (802) 527-0753

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Health Partners - Vermont LLP CurrentSince Jul 9, 2021 Accepting new patients
Northwestern Medical Center, Inc CurrentSince Sep 5, 2024 Accepting new patients
Northwestern Medical Center Inc CurrentSince Sep 5, 2024 Accepting new patients
Northwestern Medical Center, Inc. Current Accepting new patients
Primary Care Health Partners - New York LLP CurrentSince Jul 2, 2023 Accepting new patients
Northwestern Medical Center, Inc. Past Accepting new patients
Primary Care Health Partners Past Accepting new patients

Locations

9 Crest Rd
Saint Albans, VT 05478
Phone (802) 527-0753

133 Fairfield St
Saint Albans, VT 05478
Phone (802) 524-1227

51 Timber Ln
South Burlington, VT 05403
Phone (802) 864-0521

66 Knight Ln
Ste 10
Williston, VT 05495
Phone (802) 872-4327

600 Blair Park Rd
Ste 285
Williston, VT 05495
Phone (802) 288-1140

Interoperability endpoints

  • Direct secure messaging: swilliams@pchpmd.medentdirect.com

Organizations & group practices 7

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 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": "1624665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688083200000",
    "number": "1740850361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 BLAIR PARK RD STE 285",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054957586",
            "telephone_number": "802-288-1140",
            "fax_number": "802-288-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 CREST RD",
            "city": "SAINT ALBANS",
            "state": "VT",
            "postal_code": "054789701",
            "telephone_number": "802-527-0753",
            "fax_number": "802-524-2695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "SUSAN",
        "middle_name": "DENISE",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-26",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VT",
            "license": "101.0134871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "swilliams@pchpmd.medent.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9 Crest Rd",
            "city": "Saint Albans",
            "state": "VT",
            "country_code": "US",
            "postal_code": "054789701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "BENCKERT",
            "middle_name": "DENISE",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Albans, VT

Sources for this page

Verify at the official NPI Registry.