Individual provider Active NPI

Daniel Portice, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Colchester, VT
National Provider Identifier
1831653302
Registry record updated Jul 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
101.0139266 Issued in VT
Practice address
441 Watertower Cir Ste 200
Colchester, VT 05446-5801
Phone
(802) 404-1492
NPI assigned
Jan 29, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 244422-30 WI
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 101.0139266 VT Primary

Addresses

Primary practice location

441 Watertower Cir Ste 200
Colchester, VT 05446-5801

Mailing address

617 Riverside Ave
Burlington, VT 05401-1601
Phone (802) 540-8288

Other practice location 1

802 E Gorham St
Madison, WI 53703-1524
Phone (608) 280-4713

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
I20260612002462 VT Practitioner - Nurse Practitioner 5496227241 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2026
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Country Behavioral Medicine PLLCGroup PAC ID 2668744756, 22 clinicians

Practice addresses (Care Compare)

441 Watertower Cir
Suite 200
Colchester, VT 05446-5801
Phone (802) 404-1492

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
244422-30WIMDRegistered Nurse
101.0139266VTMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Country Behavioral Medicine PLLC CurrentSince May 1, 2026 Accepting new patients

Locations

441 Watertower Cir
#200
Colchester, VT 05446
Phone (802) 404-1492

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1548720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783814400000",
    "number": "1831653302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 RIVERSIDE AVE",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054011601",
            "telephone_number": "802-540-8288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 WATERTOWER CIR STE 200",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "054465801",
            "telephone_number": "802-404-1492"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "802 E Gorham St",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537031524",
            "country_code": "US",
            "telephone_number": "608-280-4713",
            "fax_number": "608-280-4707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PORTICE",
        "first_name": "DANIEL",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-29",
        "last_updated": "2026-07-12",
        "certification_date": "2026-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "244422-30",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VT",
            "license": "101.0139266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colchester, VT

Sources for this page

Verify at the official NPI Registry.