Active NPI
Elizabeth Anne Sheldon-Morris, P.A.
- Physician Assistant
- Brandon, VT
National Provider Identifier
1992094528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 055-0031219
- Practice address
- 420 Grove St
Brandon, VT 05733-9062 - Phone
- (802) 247-6305
- Fax
- (802) 247-6040
- NPI assigned
- Apr 5, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PENDING | NY | |
| Physician Assistant | 363A00000X | 055-0031219 | VT | Primary |
Addresses
Primary practice location
420 Grove St
Brandon, VT 05733-9062
Mailing address
71 Allen St
Ste 101
Rutland, VT 05701-4570
Phone (802) 772-4414
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04030324 | Medicaid | NY | |
| 9000707 | Medicaid | VT |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Albany Medical College of Union University, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
420 Grove St
Brandon, VT 05733-9062
Phone (802) 247-6305
Hospital & facility affiliations
- Vna & Hospice of the Southwest Region, Inc.
- Addison County Home Health & Hospice, Inc.
- Addison County HHA Hospice
- Rutland Regional Medical Center
- Porter Hospital Inc
- Mary Hitchcock Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PENDING | NY | MD | Internal Medicine Physician |
| 055-0031219 | VT | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Centers of the Rutland Region, Inc. | Current | Accepting new patients | |
| Community Health Centers of the Rutland Region, Inc. | Current | Accepting new patients |
Locations
275 VT 30 N
Bomoseen, VT 05732
Phone (802) 468-5641
420 Grove St
Brandon, VT 05733
Phone (802) 247-6305
231 N Main St
Rutland, VT 05701
Phone (800) 468-9118
71 Allen St
Ste 101
Rutland, VT 05701
Phone (800) 468-9118
71 Allen St
Ste 402
Rutland, VT 05701
Phone (800) 468-9118
1 General Wing Rd
Rutland, VT 05701
Phone (802) 773-9131
2987 Vt Route 22A
Shoreham, VT 05770
Phone (802) 897-7000
Interoperability endpoints
- esheldon-morris@chcrr.medentdirect.com
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 and National Provider Directory roles.
-
- Pediatrics Physician
- Rutland, VT
- NPI 1780969345
-
- Family Medicine Physician
- Brandon, VT
- NPI 1073567590
Hospital & facility affiliations 24
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- New Haven, VT
- NPI 1255452728
-
- Home Health Agency
- New Haven, VT
- NPI 1770611253
-
- Family Medicine Physician
- Middlebury, VT
- NPI 1558381889
Hospital
-
- Family Medicine Physician
- Middlebury, VT
- NPI 1144240474
Hospital
-
- Hospice and Palliative Medicine (Family Medicine) Physician
- Middlebury, VT
- NPI 1033340641
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480377600000",
"number": "1992094528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "71 ALLEN ST",
"address_2": "STE 101",
"city": "RUTLAND",
"state": "VT",
"postal_code": "057014570",
"telephone_number": "802-772-4414",
"fax_number": "802-772-7973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 GROVE ST",
"city": "BRANDON",
"state": "VT",
"postal_code": "057339062",
"telephone_number": "802-247-6305",
"fax_number": "802-247-6040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHELDON-MORRIS",
"first_name": "ELIZABETH",
"middle_name": "ANNE",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-05",
"last_updated": "2016-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "PENDING",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VT",
"license": "055-0031219",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04030324",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9000707",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brandon, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; 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.