Active NPI
Abigail Stanton Wikoff, NP
- Family Nurse Practitioner
- Brandon, VT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F339985
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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.
- Bayada Home Health Care, Inc.
- Rutland Regional Medical Center
- Porter Hospital Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F339985 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Centers of the Rutland Region Inc | Current | 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
- 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.
-
- Federally Qualified Health Center (FQHC)
- Rutland, VT
- NPI 1467681114
-
- Family Medicine Physician
- Brandon, VT
- NPI 1073567590
-
- Family Medicine Physician
- West Pawlet, VT
- NPI 1104870922
-
- Federally Qualified Health Center (FQHC)
- Bomoseen, VT
- NPI 1336193838
-
- Pediatrics Physician
- Rutland, VT
- NPI 1780969345
Hospital & facility affiliations 24
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- White River Junction, VT
- NPI 1063963148
-
- Home Health Agency
- Williston, VT
- NPI 1114229937
-
- Home Health Agency
- Rutland, VT
- NPI 1861794687
-
- Home Health Agency
- Brattleboro, VT
- NPI 1891097614
-
- Family Medicine Physician
- Middlebury, VT
- NPI 1558381889
Hospital
-
- Family Medicine Physician
- Middlebury, VT
- NPI 1144240474
Hospital
-
- Hospice and Palliative Medicine (Family Medicine) Physician
- Middlebury, VT
- NPI 1033340641
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.