Individual provider Active NPI

Nicole Ernst, PA-C

  • Surgical Physician Assistant
  • Morrisville, VT
National Provider Identifier
1891963179
Registry record updated Apr 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
055-0030896 Issued in VT
Practice address
555 Washington Highway
Mansfield Orthopedics @ Copley
Morrisville, VT 05661-8972
Phone
(802) 888-8405
NPI assigned
Feb 20, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 055-0030896 VT Primary

Addresses

Primary practice location

555 Washington Highway
Mansfield Orthopedics @ Copley
Morrisville, VT 05661-8972

Mailing address

528 Washington Hwy
Morrisville, VT 05661-8973
Phone (802) 888-4231

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
I20080325000236 VT Practitioner - Physician Assistant 4183700602 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians
North Country Hospital and Health Center IncGroup PAC ID 9739073479, shared by 8 NPIs, 50 clinicians

Practice addresses (Care Compare)

1200 Lexington Green LN
Sanford, FL 32771-1013

186 Medical Village Dr
Suite 1
Newport, VT 05855-9326

189 Prouty Dr
Newport, VT 05855-9326

Hospital & facility affiliations

  • North Country Hospital and Health Center Hospital, Newport, VT, CCN 471304

Merit-based Incentive Payment System (MIPS)

Final score
83.39 of 100Reported as group
Quality
72.51
Promoting interoperability
100
Improvement activities
40
Cost
55.45

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
055-0030896VTMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
North Country Hospital & Health Center Inc CurrentSince Feb 14, 2008 Accepting new patients
North Country Hospital & Health Center Inc CurrentSince Feb 14, 2008 Accepting new patients
North Country Hospital & Health Center Inc Past Accepting new patients

Locations

528 Washington Hwy
Morrisville, VT 05661
Phone (802) 888-4231

189 Prouty Dr
Newport, VT 05855
Phone (802) 334-3569

186 Medical Village Dr
#1
Newport, VT 05855
Phone (802) 334-3262

81 Medical Village Dr
Ste 4
Newport, VT 05855
Phone (802) 334-4111

Organizations & group practices 3

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 1

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": "1203465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366761600000",
    "number": "1891963179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 WASHINGTON HWY",
            "city": "MORRISVILLE",
            "state": "VT",
            "postal_code": "056618973",
            "telephone_number": "802-888-4231",
            "fax_number": "802-888-8203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 WASHINGTON HIGHWAY",
            "address_2": "MANSFIELD ORTHOPEDICS @ COPLEY",
            "city": "MORRISVILLE",
            "state": "VT",
            "postal_code": "056618972",
            "telephone_number": "802-888-8405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERNST",
        "first_name": "NICOLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-20",
        "last_updated": "2013-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "VT",
            "license": "055-0030896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morrisville, VT

Sources for this page

Verify at the official NPI Registry.