Individual provider Active NPI

Lara Cilwik, FNP

  • Family Nurse Practitioner
  • Newport, VT
National Provider Identifier
1922994474
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
101.0137980 Issued in VT
Practice address
186 Medical Village Dr
Newport, VT 05855-8537
Phone
(802) 334-3520
Fax
(802) 334-3512
NPI assigned
Jun 12, 2025
Last updated
Jun 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 101.0137980 VT Primary

Addresses

Primary practice location

186 Medical Village Dr
Newport, VT 05855-8537

Mailing address

1695 Nelson Hill Rd
Derby, VT 05829-9659
Phone (802) 487-4980

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
I20250804000126 VT Practitioner - Nurse Practitioner 8426566290 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

186 Medical Village Dr
Newport, VT 05855-8537
Phone (802) 334-3520

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
101.0137980VTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Country Hospital & Health Center Inc CurrentSince Jun 30, 2025 Accepting new patients
North Country Hospital & Health Center Inc CurrentSince Jun 30, 2025 Accepting new patients

Locations

186 Medical Village Dr
Newport, VT 05855
Phone (802) 334-3520

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

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1749686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1922994474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1695 NELSON HILL RD",
            "city": "DERBY",
            "state": "VT",
            "postal_code": "058299659",
            "telephone_number": "802-487-4980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 MEDICAL VILLAGE DR",
            "city": "NEWPORT",
            "state": "VT",
            "postal_code": "058558537",
            "telephone_number": "802-334-3520",
            "fax_number": "802-334-3512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CILWIK",
        "first_name": "LARA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-12",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VT",
            "license": "101.0137980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, VT

Sources for this page

Verify at the official NPI Registry.