Gabrielle Myrick, FNP
Individual provider Active NPI Family Nurse Practitioner · Bomoseen, VT
NPI 1780535567 · NPPES record last updated Mar 11, 2026
Key facts
- NPI
- 1780535567
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 101.0139065 (VT)
- Practice address
- 275 VT 30 N
Bomoseen, VT 05732-9647 - Phone
- (802) 468-5641
- NPI assigned
- Feb 6, 2026
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2026
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Community Health Centers of the Rutland Region Inc
Practice addresses (Care Compare)
275 Route 30 N
Bomoseen, VT 05732-9647
Phone (802) 468-5641
Hospital & facility affiliations
- Rutland Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260417001510 | VT | Practitioner - Nurse Practitioner | 5698241560 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101.0139065 | VT | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 101.0139065 | VT | Yes |
Addresses
Primary practice location
275 VT 30 N
Bomoseen, VT 05732-9647
Mailing address
275 VT 30 N
Bomoseen, VT 05732-9647
Phone (802) 468-5641
Other providers in Bomoseen, VT
- Hannah Mary Kussel
- Lakewood Adult Family Home Inc
- Jessica C Lindert
- Colleen Mitchell
- Laura Morin
- Lara K Peck
- Jill V Read
- Nicole Ashley Reda
- Michele Marie Redmond
- Laurel Reed-Becksted
All providers in Bomoseen, VT · Family Nurse Practitioner in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.