Jessica Claire Cullity, NP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

101.0137531 Issued in VT

Practice address

1551 W Woodbury Rd
Hardwick, VT 05843-9420

Phone

(802) 535-8502

NPI assigned

Nov 18, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cottage HospitalGroup PAC ID 1951219617, shared by 4 NPIs, 29 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cottage Hospital Hospital, Woodsville, NH, CCN 301301

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Aim Healthcare Providers VT, LLC

  • Family Medicine Physician
  • South Burlington, VT
  • NPI 1649014705

  Multi-Specialty

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Cottage Hospital

  • Rural Health Clinic/Center
  • Woodsville, NH
  • NPI 1275857328

  Hospital

  Care Compare affiliation
• Cottage Hospital

  • Critical Access Hospital
  • Woodsville, NH
  • NPI 1528162799
  Care Compare affiliation
• Cottage Hospital

  • Critical Access Hospital
  • Woodsville, NH
  • NPI 1780723650
  Care Compare affiliation
• Cottage Hospital

  • Psychiatric Hospital Unit
  • Woodsville, NH
  • NPI 1841655677
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1731888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1962227710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 W WOODBURY RD",
            "city": "HARDWICK",
            "state": "VT",
            "postal_code": "058439420",
            "telephone_number": "802-535-8502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 W WOODBURY RD",
            "city": "HARDWICK",
            "state": "VT",
            "postal_code": "058439420",
            "telephone_number": "802-535-8502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULLITY",
        "first_name": "JESSICA",
        "middle_name": "CLAIRE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-18",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "VT",
            "license": "101.0137531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cherise Renee Boutin, MA, LCMHC
• Brendan N Buckley, MD
• Gwendolyn L Bueckendorf, MSW LCSW
• Randolph James Bulpin, M.A.
• Maria T Calderwood, FNP
• Anthony Depaul, M.A.
• Jennifer L Driver, LICSW
• Alexandria Lee Ferland, ATC
• Gary Mitchell Counseling
• Alexandra C Gerson, PSY.D.

• Gerontology Nurse Practitioner in Hardwick, VT
• Providers in Hardwick, VT by specialty
• Gerontology Nurse Practitioner in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.