ANDREJA PACKARD (MD PHD) – Neurology Physician, NPI 1215992052

ANDREJA PACKARD (MD PHD) is a healthcare provider. based in Burlington, Vermont. specializing in NEUROLOGY, SLEEP MEDICINE. They hold the professional credentials MD PHD. They hold a License No. 320957 (NY). The NPI Number for ANDREJA PACKARD (MD PHD) is 1215992052

Main info

Female
35 Years Of Experience
Accepts Medicare Assignment
Name
ANDREJA PACKARD (MD PHD)
NPI
1215992052
Phone
(802) 847-0000
Address
111 Colchester Ave
Enumeration Date
17 April 2006
Last Update Date
17 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8028470000
Graduation Year
1991 (35 years ago)
PAC ID
5698702736
Group Practice PAC ID
3779491071
Professional Enrollment ID
I20211215002456
Address ID
VT054011473BU111XXAVEX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience87
Completeness85
Years active:20State licenses:3Digital endpointsOther names

83 NEUROLOGY in VT

Provider Addresses for ANDREJA PACKARD (MD PHD)

  • 111 Colchester Ave

    Burlington, VT 054011473

    Phone: (802) 847-0000

    Type: Location

  • 133 Park St

    Malone, NY 129531244

    Phone: (518) 483-3000

    Type: Location

  • 75 Beekman St

    Plattsburgh, NY 129011427

    Phone: (518) 561-2000

    Type: Location

  • Nashua Post Office, Main Street, Nashua, Chickasaw County, Iowa, 50658, United States

    NASHUA, NH 030613677

    Phone: (603) 577-7900

    Fax: (603) 577-7972

    Type: Mailing

  • 17, Prospect Street, Ward 4, Nashua, Hillsborough County, New Hampshire, 03060, United States

    NASHUA, NH 030603956

    Phone: (603) 577-5300

    Fax: (603) 577-5305

    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: 2025-10-27

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20211215002456INeurologyVTTBD
I20251027002893ISleep MedicineNYTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99205New patient office or other outpatient visit, 60-74 minutes8787$0
95811Sleep study in sleep lab with continuous airway pressure (6 years or older)6361$0
95810Sleep study in sleep lab (6 years or older)5757$0
99214Established patient office or other outpatient visit, 30-39 minutes5755$0
95806Sleep study including heart rate, breathing, airflow, and effort3838$0
View full utilization report →

Insurance plans in this area (ZIP 05401)

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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: 3779491071View full group profile

Reviews

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Frequently asked questions

Where can patients find ANDREJA PACKARD (MD PHD)'s NPI?
You can confirm ANDREJA PACKARD (MD PHD) with NPI 1215992052; it appears in the national provider directory.
Is ANDREJA PACKARD (MD PHD) currently active in the NPI registry?
CMS-published data lists ANDREJA PACKARD (MD PHD) as an active registrant.
What kind of provider is ANDREJA PACKARD (MD PHD)?
The page reflects Neurology Physician for ANDREJA PACKARD (MD PHD). Clinical services aligned with this taxonomy classification.
Does ANDREJA PACKARD (MD PHD) practice in Vermont?
You will see Burlington, Vermont on file for ANDREJA PACKARD (MD PHD) alongside any extra practice locations.
What if Burlington, Vermont seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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