Jessica Anne White, PA-C
Individual provider Active NPI Surgical Physician Assistant · Springfield, VT
NPI 1811200710 · NPPES record last updated Feb 18, 2016
Key facts
- NPI
- 1811200710
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgical Physician Assistant 363AS0400X
- Practice address
- 25 Ridgewood Rd.
Esne
Springfield, VT 05156 - Phone
- (802) 885-7540
- NPI assigned
- Jul 20, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 16
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Springfield Medical Care Systems Inc.
Windsor Hospital Corporation
Practice addresses (Care Compare)
1 Elm St
Ludlow, VT 05149-1301
Phone (802) 228-8867
1 Hospital CT
Bellows Falls, VT 05101-1489
Phone (802) 463-9000
100 River St
Springfield, VT 05156-2930
Phone (802) 886-8900
250 Ceda Rd
Charlestown, NH 03603-4511
Phone (603) 826-5711
289 County Rd
Windsor, VT 05089-9000
Hospital & facility affiliations
- Springfield Hospital
- Mt Ascutney Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in VT, NH
- 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 |
|---|---|---|---|---|
| I20130205000489 | VT | Practitioner - Physician Assistant | 0244410371 | Reassigns benefits to 4 organizations |
| I20190426001767 | NH | Practitioner - Physician Assistant | 0244410371 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002464 | CT | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Windsor Hospital Corporation | Current |
Accepting new patients | |
| Windsor Hospital Corporation | Current |
Accepting new patients | |
| Springfield Hospital .Inc | Current |
Accepting new patients | |
| Springfield Hospital | Current |
Accepting new patients | |
| Springfield Medical Care Systems Inc | Current |
Accepting new patients | |
| Windsor Hospital Corporation | Current |
Accepting new patients | |
| Springfield Hospital Inc | Past | Accepting new patients |
Locations
250 Ceda Rd
Charlestown, NH 03603
Phone (603) 826-5711
1 Hospital Ct
Bellows Falls, VT 05101
Phone (802) 463-1292
25 Ridgewood Rd
Springfield, VT 05156
Phone (780) 281-9593
100 River St
Springfield, VT 05156
Phone (802) 886-8900
289 County Rd
Windsor, VT 05089
Phone (802) 674-7220
Interoperability endpoints
- jessica.white.1@24182.direct.athenahealth.com
- jwhite622838@direct.dartmouth-hitchcock.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | Yes |
Addresses
Primary practice location
25 Ridgewood Rd.
Esne
Springfield, VT 05156
Mailing address
25 Ridgewood Rd.
Springfield, VT 05156
Phone (802) 885-7540
Other providers in Springfield, VT
- Sarah Anne Weidhaas
- Daniel Weidner
- Jessica Weiner
- Heidi Weiss
- Anne M White
- Kathleen E White
- Simon White
- Lynn M.H. Wickberg
- Knox Wilder
- Brooke Willard
All providers in Springfield, VT · Surgical Physician Assistant in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 18, 2016. 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.