Active NPI
Jillian Vandiveer, CAA
- Certified Registered Nurse Anesthetist
- Burlington, VT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 135.0000097
- Practice address
- 111 Colchester Ave
Burlington, VT 05401-1473 - Phone
- (802) 847-0000
- NPI assigned
- Apr 17, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 135.0000097 | VT | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | 135.0000098 | VT | |
| Anesthesiologist Assistant | 367H00000X | ANT.0000249 | CO |
Addresses
Primary practice location
111 Colchester Ave
Burlington, VT 05401-1473
Mailing address
PO Box 840862
Dallas, TX 75284-0862
Phone (303) 377-7638
Other practice location 1
130 Fisher Rd
Berlin, VT 05602-9516
Phone (802) 271-4257
Other practice location 2
8000 E Maplewood Ave Ste 120
Greenwood Village, CO 80111-4766
Phone (303) 438-3999
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, VT
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240614001767 | CO | Practitioner - Anesthesiology Assistant | 0042753345 | Reassigns benefits to 1 organization |
| I20251212003732 | VT | Practitioner - Anesthesiology Assistant | 0042753345 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University of Vermont Medical Center IncUS Anesthesia Partners of Colorado Inc
Practice addresses (Care Compare)
111 Colchester Ave
Burlington, VT 05401-1473
Phone (802) 847-0000
2222 N Nevada Ave
Penrose Hospital
Colorado Springs, CO 80907-6819
Phone (303) 438-3999
Hospital & facility affiliations
- Univ. of Vermont - Fletcher Allen Health Care
- Central Vermont Medical Center
- Centura Health-Penrose St Francis Health Services
- St Francis Hospital - Interquest
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Associate of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 135.0000097 | VT | MD | Certified Registered Nurse Anesthetist |
| 135.0000098 | VT | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Vermont Medical Center Inc | Current | Accepting new patients | |
| US Anesthesia Partners of Kansas PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| US Anesthesia Partners of Colorado Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
2222 N Nevada Ave
Colorado Springs, CO 80907
Phone (719) 776-5333
8000 E Maplewood Ave
Ste 120
Greenwood Village, CO 80111
10101 Ridgegate Pkwy
Lone Tree, CO 80124
Phone (720) 225-1000
12222 Merit Dr
Ste 600
Dallas, TX 75251
Phone (972) 361-1844
130 Fisher Rd
Berlin, VT 05602
Phone (802) 225-5820
1 S Prospect St
Burlington, VT 05401
Phone (802) 847-4531
111 Colchester Ave
Burlington, VT 05401
Phone (802) 656-2415
Organizations & group practices 15
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.
-
- Internal Medicine Physician
- Burlington, VT
- NPI 1659309615
VT
-
- Anesthesiology Physician
- Greenwood Village, CO
- NPI 1922365782
CO, Nurse Anesthetist, Certified Registered
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- S Burlington, VT
- NPI 1013953280
-
- Rehabilitation Hospital Unit
- Colchester, VT
- NPI 1205873486
-
- Community/Retail Pharmacy
- Colchester, VT
- NPI 1407867054
-
- Community/Retail Pharmacy
- Burlington, VT
- NPI 1427112861
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Burlington, VT
- NPI 1508808353
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Newport, VT
- NPI 1538186168
-
- General Acute Care Hospital
- Burlington, VT
- NPI 1568419976
-
- Home Infusion Therapy Pharmacy
- Burlington, VT
- NPI 1568501591
-
- Community/Retail Pharmacy
- Burlington, VT
- NPI 1619031044
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- St Albans, VT
- NPI 1841234283
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Burlington, VT
- NPI 1568419976
Hospital
-
- General Acute Care Hospital
- Colorado Springs, CO
- NPI 1295431765
Hospital
-
- General Acute Care Hospital
- Colorado Springs, CO
- NPI 1801436415
Hospital
-
- General Acute Care Hospital
- Colorado Springs, CO
- NPI 1932112125
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766534400000",
"number": "1861247504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 840862",
"city": "DALLAS",
"state": "TX",
"postal_code": "752840862",
"telephone_number": "303-377-7638",
"fax_number": "303-780-0787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 COLCHESTER AVE",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "054011473",
"telephone_number": "802-847-0000"
}
],
"practiceLocations": [
{
"address_1": "130 Fisher Rd",
"address_purpose": "LOCATION",
"city": "Berlin",
"state": "VT",
"postal_code": "056029516",
"country_code": "US",
"telephone_number": "802-271-4257",
"fax_number": "802-847-5324",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8000 E Maplewood Ave Ste 120",
"address_purpose": "LOCATION",
"city": "Greenwood Village",
"state": "CO",
"postal_code": "801114766",
"country_code": "US",
"telephone_number": "303-438-3999",
"fax_number": "720-439-9500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VANDIVEER",
"first_name": "JILLIAN",
"credential": "CAA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-17",
"last_updated": "2025-12-24",
"certification_date": "2025-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "VT",
"license": "135.0000097",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "VT",
"license": "135.0000098",
"primary": false
},
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "CO",
"license": "ANT.0000249",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burlington, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.