JILLIAN VANDIVEER (CAA) – Certified Registered Nurse Anesthetist, NPI 1861247504
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
33 ANESTHESIOLOGY ASSISTANT in VT
Provider Addresses for JILLIAN VANDIVEER (CAA)
PO BOX 840862
DALLAS, TX 752840862
Phone: (303) 377-7638
Fax: (303) 780-0787
Type: Mailing
111 COLCHESTER AVE
BURLINGTON, VT 054011473
Phone: (802) 847-0000
Type: Location
130 Fisher Rd
Berlin, VT 056029516
Phone: (802) 271-4257
Fax: (802) 847-5324
Type: Location
8000 E Maplewood Ave Ste 120
Greenwood Village, CO 801114766
Phone: (303) 438-3999
Fax: (720) 439-9500
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-12-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240614001767 | I | Anesthesiology Assistant | CO | TBD |
| I20251212003732 | I | Anesthesiology Assistant | VT | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 75284)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| A N E S T H E S I O L O G Y | CO | |
| - | CO | |
| - | CO | |
| - | CO | |
| - | CO | |
| - | CO | |
| A N E S T H E S I O L O G Y | CO | |
| - | CO | |
| A N E S T H E S I O L O G Y | COLORADO | |
| A N E S T H E S I O L O G Y | OH |
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