Individual provider Active NPI

Phoebe Pelkey, P.A.-C

  • Physician Assistant
  • South Burlington, VT
National Provider Identifier
1811990104
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0550030608 Issued in VT
Practice address
372 Dorset St
South Burlington, VT 05403
Phone
(802) 660-8808
Fax
(802) 660-4310
NPI assigned
May 31, 2005
Last updated
Feb 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 035190-01 NY
Physician Assistant 363A00000X 0550030608 VT Primary

Addresses

Primary practice location

372 Dorset St
South Burlington, VT 05403

Mailing address

372 Dorset St
South Burlington, VT 05403-6212
Phone (802) 660-8808

Other practice location 1

354 Mountain View Dr Ste 300
Colchester, VT 05446-5988
Phone (802) 864-0192

Other practice location 2

2 Healey Ave
Plattsburgh, NY 12901-2413
Phone (802) 864-0192

Other identifiers 1

IdentifierTypeStateIssuer
59179OtherVTBLUE SHIELD ID NUMBER

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
I20050307000468 VT Practitioner - Physician Assistant 3971557562 Reassigns benefits to 3 organizations
I20260212000136 NY Practitioner - Physician Assistant 3971557562 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Green Mountain Dermatology PLLCGroup PAC ID 4688011992, 15 clinicians

Practice addresses (Care Compare)

2 Healey Ave
Plattsburgh, NY 12901-2413
Phone (802) 864-0192

354 Mountain View Dr
Colchester, VT 05446-5988
Phone (802) 864-0192

Merit-based Incentive Payment System (MIPS)

Final score
88.67 of 100Reported as group
Quality
80.11
Improvement activities
40
Cost
88.76

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0550030608VTMDDermatology Physician
035190-01NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dorset Street Dermatology Past Accepting new patients

Organizations & group practices 4

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": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1811990104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "372 DORSET ST",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054036212",
            "telephone_number": "802-660-8808",
            "fax_number": "802-660-4310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "372 DORSET ST",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "05403",
            "telephone_number": "802-660-8808",
            "fax_number": "802-660-4310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "354 Mountain View Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Colchester",
            "state": "VT",
            "postal_code": "054465988",
            "country_code": "US",
            "telephone_number": "802-864-0192",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Healey Ave",
            "address_purpose": "LOCATION",
            "city": "Plattsburgh",
            "state": "NY",
            "postal_code": "129012413",
            "country_code": "US",
            "telephone_number": "802-864-0192",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PELKEY",
        "first_name": "PHOEBE",
        "name_prefix": "Ms.",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-31",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "035190-01",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VT",
            "license": "0550030608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD ID NUMBER",
            "identifier": "59179",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Burlington, VT

Sources for this page

Verify at the official NPI Registry.