OLIVIA BELLAVANCE (PA-C) – Physician Assistant, NPI 1083322176

OLIVIA BELLAVANCE (PA-C) is a healthcare provider. based in St johnsbury, Vermont. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. The NPI Number for OLIVIA BELLAVANCE (PA-C) is 1083322176

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
OLIVIA BELLAVANCE (PA-C)
NPI
1083322176
Phone
(802) 748-8141
Address
1315 Hospital Dr
Enumeration Date
8 November 2022
Last Update Date
8 November 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8027488141
Graduation Year
2022 (4 years ago)
PAC ID
2466823786
Group Practice PAC ID
3678481405
Professional Enrollment ID
I20230125001119
Address ID
VT058199210ST1315XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience21
Completeness75
Years active:3State licenses:0Digital endpointsOther names

385 PHYSICIAN ASSISTANT in VT

Provider Addresses for OLIVIA BELLAVANCE (PA-C)

  • 1315 Hospital Dr

    St Johnsbury, VT 058199210

    Phone: (802) 748-8141

    Type: Location

  • 6562 VT ROUTE 215 N

    CABOT, VT 056479771

    Phone: (802) 272-9658

    Type: Mailing

  • 41 SHERMAN DR

    ST JOHNSBURY, VT 058199280

    Phone: (802) 748-5361

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $113.

Total Amount is formed as General ($113) + Research ($0) + Ownership ($0) = $113.

Last reported payment date: 2024-03-20 • Largest payer in this snapshot: Gilead Sciences, Inc. ($113).

Total Amount

$113

General + Research + Ownership

Payments

1

Total payment records

General Amount

$113

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-20

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Gilead Sciences, Inc.$113
View all Open Payments →|Open Payments Risk Radar →

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: 2023-01-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230125001119IPhysician AssistantVTTBD

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.

Verify on CMS Revalidation Lookup Tool

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 05819)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3678481405View full group profile
NameSpecialtyState
-VT
Nurse PractitionerVT
Physician AssistantVT
Certified Nurse Midwife (Cnm)ME
Nurse PractitionerVT
O T O L A R Y N G O L O G YNH
Physical Therapist In Private PracticeVT
-VT
O B S T E T R I C S/ G Y N E C O L O G YNY
Clinical PsychologistVT

Reviews

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Frequently asked questions

What unique ID ties claims to OLIVIA BELLAVANCE (PA-C)?
NPI 1083322176 is assigned to OLIVIA BELLAVANCE (PA-C) under the national enumeration system.
Does this profile mean OLIVIA BELLAVANCE (PA-C) is currently active?
Yes — OLIVIA BELLAVANCE (PA-C) appears active in the national provider directory.
Does OLIVIA BELLAVANCE (PA-C) list a primary specialty?
If you are matching referrals, note Physician Assistant for OLIVIA BELLAVANCE (PA-C). Clinical services aligned with this taxonomy classification.
What location shows for OLIVIA BELLAVANCE (PA-C)?
We surface St Johnsbury, Vermont for OLIVIA BELLAVANCE (PA-C) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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