Organization Active NPI

Village Health, Inc.

  • Family Medicine Physician
  • Middlebury, VT
National Provider Identifier
1992353445
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
VILLAGE HEALTH, INC.
Practice address
5 Park St Ste 3a
Middlebury, VT 05753-1169
Phone
(802) 922-6538
NPI assigned
Aug 28, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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

Authorized official

Name
Dr. Jessica Alice Rouse, MDNPI 1063546752
Title
Physician, Secretary/Treasurer
Phone
(802) 922-6538

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

5 Park St Ste 3a
Middlebury, VT 05753-1169

Mailing address

5 Park St Ste 3a
Middlebury, VT 05753-1169
Phone (802) 382-9491

Other identifiers 1

IdentifierTypeStateIssuer
6702385MedicaidVT

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL VITL Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200122000850 VT Part B Supplier - Clinic/Group Practice 8224463229 Receives reassigned benefits from 2 practitioners
Practice locations: Middlebury, VT

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
47D2177410Village Health, Inc5 Park St, Star Mill Ste 3a, Middlebury, VT 05753Certificate of waiverJan 9, 2028

National Provider Directory

National Provider Directory

Locations

5 Park St
Ste 3A
Middlebury, VT 05753
Phone (802) 382-9491

5 Park St
Ste 3
Middlebury, VT 05753
Phone (802) 382-9491

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20196/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1566950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757030400000",
    "number": "1992353445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 PARK ST STE 3A",
            "city": "MIDDLEBURY",
            "state": "VT",
            "postal_code": "057531169",
            "telephone_number": "802-382-9491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 PARK ST STE 3A",
            "city": "MIDDLEBURY",
            "state": "VT",
            "postal_code": "057531169",
            "telephone_number": "802-922-6538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-28",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A",
        "authorized_official_last_name": "ROUSE",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "ALICE",
        "authorized_official_title_or_position": "PHYSICIAN, SECRETARY/TREASURER",
        "authorized_official_telephone_number": "802-922-6538",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6702385",
            "state": "VT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "VITL",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "5 Park St Ste 3A",
            "city": "Middlebury",
            "state": "VT",
            "country_code": "US",
            "postal_code": "057531169",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Middlebury, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.