Individual provider Active NPI

Jillian Vandiveer, CAA

  • Certified Registered Nurse Anesthetist
  • Burlington, VT
National Provider Identifier
1861247504
Registry record updated Dec 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
135.0000097 Issued in VT
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

Updated by the provider on Dec 24, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, VT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 Inc 1,208 clinicians
US Anesthesia Partners of Colorado Inc 472 clinicians

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 Hospital, Burlington, VT, CCN 470003
  • Central Vermont Medical Center Hospital, Barre, VT, CCN 470001
  • Centura Health-Penrose St Francis Health Services Hospital, Colorado Springs, CO, CCN 060031
  • St Francis Hospital - Interquest Hospital, Colorado Springs, CO, CCN 060133

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Associate of Arts

State licenses

LicenseStateTypeSpecialty
135.0000097VTMDCertified Registered Nurse Anesthetist
135.0000098VTMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Vermont Medical Center Inc CurrentSince Dec 1, 2025 Accepting new patients
US Anesthesia Partners of Kansas PA Nurse Anesthetist, Certified Registered CurrentSince Jun 16, 2024 Accepting new patients
US Anesthesia Partners of Colorado Inc. Nurse Anesthetist, Certified Registered CurrentSince Jun 7, 2024 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.

View all 15

Hospital & facility affiliations 5

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": "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.

Verify at the official NPI Registry.