William James Bogertman, RN
Individual provider Active NPI Acute Care Nurse Practitioner · Rutland, VT
NPI 1992522973 · NPPES record last updated Feb 11, 2025
Key facts
- NPI
- 1992522973
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acute Care Nurse Practitioner 363LA2100X
- License
- 101.0137417 (VT)
- Practice address
- 160 Allen St
Rutland, VT 05701-4560 - Phone
- (802) 775-7111
- NPI assigned
- Sep 23, 2024
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 7
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Rutland Hospital, Inc.
Practice addresses (Care Compare)
160 Allen St
Rutland, VT 05701-4560
Phone (802) 775-7111
Hospital & facility affiliations
- Rutland Regional Medical Center
- Mary Hitchcock Memorial Hospital
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 |
|---|---|---|---|---|
| I20241226001571 | VT | Practitioner - Nurse Practitioner | 6800323239 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 026.0117774 | VT | MD | Registered Nurse |
| 101.0137417 | VT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rutland Hospital, Inc. | Multi-Specialty | Current |
Accepting new patients |
| Rutland Hospital, Inc. | Multi-Specialty | Current |
Accepting new patients |
Locations
160 Allen St
Rutland, VT 05701
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 026.0117774 | VT | |
| Family Nurse Practitioner |
363LF0000X | 101.0137417 | VT | |
| Acute Care Nurse Practitioner |
363LA2100X | 101.0137417 | VT | Yes |
Addresses
Primary practice location
160 Allen St
Rutland, VT 05701-4560
Mailing address
160 Allen St
Rutland, VT 05701-4560
Phone (802) 775-7111
Other providers in Rutland, VT
- Stephen John Blackett
- Andrea Blair
- Susan E Blish
- Elizabeth Bloomfield
- Jacquelyn Ellen Bode
- Chynah Boise
- Erica Bolster
- Bartholomew J Bonazinga
- Boston Psychotherapy, PLC
- Deborah E. Boston
All providers in Rutland, VT · Acute Care 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 Feb 11, 2025. 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.