John Paul Stanchfield, PA
Individual provider Active NPI Physician Assistant · Brattleboro, VT
NPI 1972568673 · NPPES record last updated Apr 13, 2016
Key facts
- NPI
- 1972568673
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 055-0030830 (VT)
- Practice address
- 21 Belmont Ave
Brattleboro, VT 05301-7110 - Phone
- (802) 258-3905
- Fax
- (802) 258-4903
- NPI assigned
- Apr 18, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- University of Wisconsin School of Medicine, 2002
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Carlos G Otis Health Care Center Inc
Practice addresses (Care Compare)
185 Grafton Rd
Townshend, VT 05353-8820
Phone (802) 365-3601
Hospital & facility affiliations
- Bayada Home Health Care, Inc.
- Grace Cottage Hospital
- Brattleboro Memorial Hospital
- Cheshire Medical Center
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 |
|---|---|---|---|---|
| I20080523000309 | VT | Practitioner - Physician Assistant | 7810066388 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 055-0030830 | VT | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carlos G. Otis Health Care Center Inc. | Current |
Accepting new patients | |
| Carlos G Otis Health Care Center Inc | Current |
Accepting new patients | |
| Primary Care Health Partners - New York LLP | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 055-0030830 | VT | Yes |
Addresses
Primary practice location
21 Belmont Ave
Brattleboro, VT 05301-7110
Mailing address
17 Belmont Ave
Suite 190
Brattleboro, VT 05301-3498
Phone (802) 257-8360
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9000135 | Medicaid | VT |
Other providers in Brattleboro, VT
- Anna Spence
- Stephen Alan Spitzer
- Carol Stack
- Susan Wright Stafursky
- Katharine Leighton Staman
- Kathryn A Stannard
- Adam Stark
- Maxine Harris Stent
- Cynthia Stepler
- Denise Elizabeth Stevens
All providers in Brattleboro, VT · Physician Assistant in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 13, 2016. 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.