Individual provider Active NPI

Kristine Noelle Pavlovic, FNP

  • Family Nurse Practitioner
  • Cambridge, VT
National Provider Identifier
1831885169
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
101.0136022 Issued in VT
Practice address
272 N Main St
Unit 101
Cambridge, VT 05444
Phone
(802) 644-5114
Fax
(802) 888-6075
NPI assigned
Apr 11, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 101.0136022 VT
Family Nurse Practitioner 363LF0000X 101.0136022 VT Primary

Addresses

Primary practice location

272 N Main St
Unit 101
Cambridge, VT 05444

Mailing address

PO Box 749
Morrisville, VT 05661-0749
Phone (802) 851-8619

Other practice location 1

14 Mansfield Ave
Essex Junction, VT 05452-3764
Phone (802) 598-6129

Other names 1

  • Kristine Noelle Hatcher Former name

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
I20230920001810 VT Practitioner - Nurse Practitioner 4284094673 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lamoille Health Partners Inc 37 clinicians

Practice addresses (Care Compare)

272 N Main St
Cambridge, VT 05444-9810
Phone (802) 644-5114

607 Washington Hwy
Morrisville, VT 05661-8652
Phone (802) 888-8320

609 Washington Hwy
Morrisville, VT 05661-8652
Phone (802) 888-7585

Hospital & facility affiliations

  • Lamoille Home Health & Hospice Home health agency, Morrisville, VT, CCN 477015
  • Copley Hospital Hospital, Morrisville, VT, CCN 471305
  • Northwestern Medical Center Inc Hospital, Saint Albans, VT, CCN 470024
  • Univ. of Vermont - Fletcher Allen Health Care Hospital, Burlington, VT, CCN 470003

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
101.0136022VTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lamoille Health Partners, Inc Family Medicine Current Accepting new patients
Lamoille Health Partners, Inc Current Accepting new patients
Lamoille Health Partners Inc. Family Medicine CurrentSince Oct 23, 2023 Accepting new patients
Lamoille Health Partners, Inc Family Medicine CurrentSince Oct 23, 2023 Accepting new patients

Locations

272 N Main St
Unit 101
Cambridge, VT 05444
Phone (802) 644-5114

609 Washington Hwy
Morrisville, VT 05661
Phone (802) 888-5639

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CDHBAA

Organizations & group practices 6

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 4

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

NPI Registry JSON

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

{
    "created_epoch": "1681171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1831885169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749",
            "city": "MORRISVILLE",
            "state": "VT",
            "postal_code": "056610749",
            "telephone_number": "802-851-8619",
            "fax_number": "802-851-8716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "272 N MAIN ST",
            "address_2": "UNIT 101",
            "city": "CAMBRIDGE",
            "state": "VT",
            "postal_code": "05444",
            "telephone_number": "802-644-5114",
            "fax_number": "802-888-6075"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14 Mansfield Ave",
            "address_purpose": "LOCATION",
            "city": "Essex Junction",
            "state": "VT",
            "postal_code": "054523764",
            "country_code": "US",
            "telephone_number": "802-598-6129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAVLOVIC",
        "first_name": "KRISTINE",
        "middle_name": "NOELLE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-11",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VT",
            "license": "101.0136022",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VT",
            "license": "101.0136022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTINE",
            "last_name": "HATCHER",
            "middle_name": "NOELLE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cambridge, VT

Sources for this page

Verify at the official NPI Registry.