Warren Patrick McDermott
Individual provider Active NPI Adult Health Nurse Practitioner · Burlington, VT
NPI 1992423370 · NPPES record last updated Aug 22, 2022
Key facts
- NPI
- 1992423370
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- 101.0135631 (VT)
- Practice address
- 128 Lakeside Ave Ste 260
Burlington, VT 05401-5911 - Phone
- (802) 657-7000
- NPI assigned
- Aug 22, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- University of Vermont College of Medicine, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Gifford Health Care Inc
Practice addresses (Care Compare)
235 S Main St
Rochester, VT 05767-9683
Phone (802) 767-3704
Hospital & facility affiliations
- Vna and Hospice of Vermont and New Hampshire
- Gifford 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 |
|---|---|---|---|---|
| I20240422001369 | VT | Practitioner - Nurse Practitioner | 5496194508 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gifford Health Care, Inc | Current |
Accepting new patients | |
| Gifford Health Care, Inc | Current |
Accepting new patients | |
| Gifford Health Care, Inc | Past | Accepting new patients |
Locations
1823 Vt Rte 107
Bethel, VT 05032
Phone (802) 234-2114
44 S Main St
Randolph, VT 05060
Phone (802) 728-4441
235 S Main St
Rochester, VT 05767
Phone (802) 767-3704
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 101.0135631 | VT | Yes |
Addresses
Primary practice location
128 Lakeside Ave Ste 260
Burlington, VT 05401-5911
Mailing address
128 Lakeside Ave Ste 260
Burlington, VT 05401-5911
Phone (802) 657-7000
Other providers in Burlington, VT
- Kerry McCracken Ducolon
- Laura Wright McCray
- Tara McCuin
- Declan McDaid
- Cambria Eve McDermott
- Elizabeth McDonald
- Hannah Leigh McDonald
- Monica L McDonald
- Mary K McDowell
- Elliott McElroy
All providers in Burlington, VT · Adult Health Nurse Practitioner in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2022. 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.