Individual provider Active NPI

Jamie Rogers

  • Primary Care Nurse Practitioner
  • Shaftsbury, VT
National Provider Identifier
1790293777
Registry record updated Oct 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
101.0130340 Issued in VT
Practice address
677 VT Rte 7a
Shaftsbury, VT 05262-0379
Phone
(802) 442-8531
Fax
(802) 442-1503
NPI assigned
Jan 12, 2018
Last updated
Oct 17, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 101.0130340 VT Primary

Addresses

Primary practice location

677 VT Rte 7a
Shaftsbury, VT 05262-0379

Mailing address

PO Box 379
Shaftsbury, VT 05262-0379
Phone (802) 442-8531

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
I20180419002882 VT Practitioner - Nurse Practitioner 0749542827 Reassigns benefits to 4 organizations
I20241121001686 NY Practitioner - Nurse Practitioner 0749542827 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40
Cost
76.74

Merit-based Incentive Payment System (MIPS)

Final score
97.61 of 100Reported as group
Quality
95
Improvement activities
40
Cost
65.38

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
101.0130340VTMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Wound Care Vermont PLLC CurrentSince Aug 30, 2022 Accepting new patients
Vantage Healthcare LLC CurrentSince Dec 20, 2024 Accepting new patients
Infinite Medical PC CurrentSince May 1, 2021 Accepting new patients
Integrated Wound Care New York Medical PLLC CurrentSince Nov 6, 2024 Accepting new patients
Comprehensive Rehab Consultants PLLC CurrentSince Jan 1, 2026 Accepting new patients

Locations

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

492C Cedar Ln
Teaneck, NJ 07666
Phone (201) 357-5468

250 Skillman St
Ste 202
Brooklyn, NY 11205

3457 Nostrand Ave
Brooklyn, NY 11229
Phone (718) 535-5100

14227 Franklin Ave
Flushing, NY 11355
Phone (516) 205-3663

378 Prospect St
Barre, VT 05641
Phone (802) 476-4166

7 Forest Hill Dr
Saint Albans, VT 05478
Phone (518) 324-7403

105 Chester Rd
Springfield, VT 05156
Phone (802) 885-5741

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1515715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571270400000",
    "number": "1790293777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 379",
            "city": "SHAFTSBURY",
            "state": "VT",
            "postal_code": "052620379",
            "telephone_number": "802-442-8531",
            "fax_number": "802-442-1503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "677 VT RTE 7A",
            "city": "SHAFTSBURY",
            "state": "VT",
            "postal_code": "052620379",
            "telephone_number": "802-442-8531",
            "fax_number": "802-442-1503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "JAMIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-12",
        "last_updated": "2019-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "VT",
            "license": "101.0130340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shaftsbury, VT

Sources for this page

Verify at the official NPI Registry.