Individual provider Active NPI

Abigail Stanton Wikoff, NP

  • Family Nurse Practitioner
  • Brandon, VT
National Provider Identifier
1831565597
Registry record updated Jun 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F339985 Issued in NY
Practice address
420 Grove St
Brandon, VT 05733-9062
Phone
(802) 247-6305
NPI assigned
Aug 18, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F339985 NY Primary

Addresses

Primary practice location

420 Grove St
Brandon, VT 05733-9062

Mailing address

PO Box 304
Adirondack Medical Services
Glens Falls, NY 12801-0304
Phone (518) 926-6992

Other practice location 1

65 Poultney St
Whitehall Family Medicine
Whitehall, NY 12887-1543
Phone (518) 499-2444

Other practice location 2

215 Stratton Rd
Rutland, VT 05701-4621
Phone (802) 773-3386

Other practice location 3

278 Vt Route 149
West Pawlet, VT 05775-9798
Phone (802) 645-0580

Other practice location 4

2987 Vt Route 22A
Shoreham, VT 05770-9728
Phone (802) 773-3386

Other practice location 5

275 Route 30 N
Bomoseen, VT 05732-9647
Phone (802) 773-3386

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210701002525 VT Practitioner - Nurse Practitioner 2668780404 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Yale University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health Centers of the Rutland Region IncGroup PAC ID 2961467386, 103 clinicians

Practice addresses (Care Compare)

275 Route 30 N
Bomoseen, VT 05732-9647
Phone (802) 468-5641

278 VT Route 149
West Pawlet, VT 05775-9798
Phone (802) 645-0580

420 Grove St
Brandon, VT 05733-9062
Phone (802) 247-6305

Hospital & facility affiliations

  • Vna & Hospice of the Southwest Region, Inc. Home health agency, Rutland, VT, CCN 477007
  • Bayada Home Health Care, Inc. Home health agency, Rutland, VT, CCN 477019
  • Rutland Regional Medical Center Hospital, Rutland, VT, CCN 470005
  • Porter Hospital Inc Hospital, Middlebury, VT, CCN 471307

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F339985NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Centers of the Rutland Region Inc CurrentSince Mar 30, 2021 Accepting new patients

Locations

71 Allen St
Ste 402
Rutland, VT 05701
Phone (800) 468-9118

215 Stratton Rd
Rutland, VT 05701
Phone (802) 773-3386

2987 Vt Route 22A
Shoreham, VT 05770
Phone (802) 897-7000

Interoperability endpoints

  • Direct secure messaging: awikoff@chcrr.medentdirect.com

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 and National Provider Directory roles.

Hospital & facility affiliations 24

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1439856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561507200000",
    "number": "1831565597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 304",
            "address_2": "ADIRONDACK MEDICAL SERVICES",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128010304",
            "telephone_number": "518-926-6992",
            "fax_number": "518-926-6983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 GROVE ST",
            "city": "BRANDON",
            "state": "VT",
            "postal_code": "057339062",
            "telephone_number": "802-247-6305"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "65 Poultney St",
            "address_2": "Whitehall Family Medicine",
            "address_purpose": "LOCATION",
            "city": "Whitehall",
            "state": "NY",
            "postal_code": "128871543",
            "country_code": "US",
            "telephone_number": "518-499-2444",
            "fax_number": "518-499-0317",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "215 Stratton Rd",
            "address_purpose": "LOCATION",
            "city": "Rutland",
            "state": "VT",
            "postal_code": "057014621",
            "country_code": "US",
            "telephone_number": "802-773-3386",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "278 Vt Route 149",
            "address_purpose": "LOCATION",
            "city": "West Pawlet",
            "state": "VT",
            "postal_code": "057759798",
            "country_code": "US",
            "telephone_number": "802-645-0580",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2987 Vt Route 22A",
            "address_purpose": "LOCATION",
            "city": "Shoreham",
            "state": "VT",
            "postal_code": "057709728",
            "country_code": "US",
            "telephone_number": "802-773-3386",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "275 Route 30 N",
            "address_purpose": "LOCATION",
            "city": "Bomoseen",
            "state": "VT",
            "postal_code": "057329647",
            "country_code": "US",
            "telephone_number": "802-773-3386",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIKOFF",
        "first_name": "ABIGAIL",
        "middle_name": "STANTON",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-18",
        "last_updated": "2019-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F339985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, VT

Sources for this page

Verify at the official NPI Registry.