Individual provider Active NPI

Katelin Elizabeth Irene Axtell

  • Nurse Practitioner
  • Arlington, VT
National Provider Identifier
1801673249
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN2385100 Issued in MA
Practice address
9 Church St
Arlington, VT 05250-4457
Phone
(802) 375-6566
NPI assigned
Sep 11, 2023
Last updated
Sep 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN2385100 MA Primary

Addresses

Primary practice location

9 Church St
Arlington, VT 05250-4457

Mailing address

1425 W Mountain Rd
Shaftsbury, VT 05262-9368
Phone (479) 422-3083

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, VT2 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
I20240314003397 MA Practitioner - Nurse Practitioner 5991141756 Reassigns benefits to 1 organization
I20240604000049 VT Practitioner - Nurse Practitioner 5991141756 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

18 Church St
Arlington, VT 05250-4457
Phone (802) 375-6566

9 Church St
Arlington, VT 05250-4457
Phone (802) 375-6566

PO Box
Suite 61
Arlington, VT 05250

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Programs, Inc. Current Accepting new patients
Battenkill Valley Health Center, Inc CurrentSince May 8, 2024 Accepting new patients
Community Health Programs CurrentSince Jan 21, 2024 Accepting new patients
Battenkill Valley Health Center, Inc CurrentSince May 8, 2024 Accepting new patients
Community Health Programs, Inc. CurrentSince Jan 21, 2024 Accepting new patients

Locations

11 Quarry Hill Rd
Lee, MA 01238
Phone (413) 243-0536

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JCDJAA

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.

Hospital & facility affiliations 3

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": "1694390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1801673249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 W MOUNTAIN RD",
            "city": "SHAFTSBURY",
            "state": "VT",
            "postal_code": "052629368",
            "telephone_number": "479-422-3083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 CHURCH ST",
            "city": "ARLINGTON",
            "state": "VT",
            "postal_code": "052504457",
            "telephone_number": "802-375-6566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AXTELL",
        "first_name": "KATELIN",
        "middle_name": "ELIZABETH IRENE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-11",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2385100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VT

Sources for this page

Verify at the official NPI Registry.