Meghan Clack, NP
Individual provider Active NPI Adult Health Nurse Practitioner · Saint Albans, VT
NPI 1891145397 · NPPES record last updated Mar 29, 2021
Key facts
- NPI
- 1891145397
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- 101.0119535 (VT)
- Practice address
- 133 Fairfield St
Saint Albans, VT 05478-1726 - Phone
- (802) 524-8954
- NPI assigned
- Jun 15, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 18
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- May accept Medicare assignment
- Group practices
- The Richford Health Center, Inc.
Northwestern Medical Center Inc
Practice addresses (Care Compare)
1199 Main St
Fairfax, VT 05454-9530
Phone (802) 849-2844
133 Fairfield St
Saint Albans, VT 05478-1726
Phone (802) 524-1227
64 Industrial Park Rd
Alburg, VT 05440-4170
Phone (802) 796-4414
Hospital & facility affiliations
- Bayada Home Health Care, Inc.
- Vna & Hospice of the Southwest Region, Inc.
- Northwestern Medical Center Inc
- Univ. of Vermont - Fletcher Allen Health Care
- Copley Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191030002790 | VT | Practitioner - Nurse Practitioner | 3072804756 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101.0119535 | VT | MD | Adult Health Nurse Practitioner |
| AP131114 | TX | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwestern Medical Center, Inc. | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of Vermont-TCG, LLC | Current |
Accepting new patients | |
| Northwestern Medical Center, Inc | Current |
Accepting new patients | |
| The Richford Health Center Inc | Current | Accepting new patients | |
| Northwestern Medical Center, Inc. | Current | Accepting new patients | |
| Northwestern Medical Center Inc | Current |
Accepting new patients | |
| The Richford Health Center Inc | Current |
Accepting new patients | |
| The Richford Health Center Inc. | Past | Accepting new patients | |
| The Richford Health Center Inc | Past | Accepting new patients | |
| The Richford Health Center Inc | Past | Accepting new patients | |
| Transitions Care Management PA | Past |
Accepting new patients | |
| Northwestern Medical Center Inc | Past | Accepting new patients |
Locations
4178 Highbridge Rd
Fairfax, VT 05454
Phone (802) 524-9595
1199 Main St
Fairfax, VT 05454
Phone (802) 849-2023
44 Main St
Ste 200
Richford, VT 05476
Phone (802) 255-5500
12 Crest Rd
Saint Albans, VT 05478
Phone (802) 524-4554
3 Crest Rd
Saint Albans, VT 05478
Phone (802) 524-4554
133 Fairfield St
Saint Albans, VT 05478
Phone (802) 524-1227
26 Canada St
Swanton, VT 05488
Phone (800) 868-2454
Interoperability endpoints
- mclack@notch.medentdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | AP131114 | TX | |
| Gerontology Nurse Practitioner | 363LG0600X | AP131114 | TX | |
| Adult Health Nurse Practitioner | 363LA2200X | 101.0119535 | VT | Yes |
Addresses
Primary practice location
133 Fairfield St
Saint Albans, VT 05478-1726
Mailing address
133 Fairfield St
Saint Albans, VT 05478-1726
Phone (802) 524-8954
Other names
- Meghan Saunders
Other providers in Saint Albans, VT
- John Chittick
- Choice Physical Therapy of St Albans LLC
- Choice Physical Therapy of St. Albans, LLC
- Joy Choquette
- Christopher King, Ma LLC
- Amanda Clary
- Edward Clausen
- Matthew John Clear
- Clearchoicemd Primary Care PLLC
- Mary B. Coffey
All providers in Saint Albans, VT · Adult Health Nurse Practitioner in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 29, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.