MS. SALLY KATHRYN MATHIESON (APRN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1275840712
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
721 NURSE PRACTITIONER in VT
Provider Addresses for MS. SALLY KATHRYN MATHIESON (APRN)
PO BOX 75
ADAMANT, VT 056400075
Phone: (802) 249-6887
Type: Mailing
637 UNION STREET
DR. LESLIE LOCKRIDGE
NEWPORT, VT 058550838
Phone: (802) 334-7177
Fax: (802) 487-9299
Type: Location
165 SHERMAN DR
ST JOHNSBURY, VT 058199811
Phone: (802) 748-9405
Fax: (802) 748-4540
Type: Mailing
26 Cedar Ln
Danville, VT 058289751
Phone: (802) 684-2275
Fax: (802) 684-3839
Type: Location
4 SLAPP HL
HARDWICK, VT 058439300
Phone: (802) 472-3300
Fax: (802) 472-8277
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: 2014-06-16
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20140616001528 | I | Nurse Practitioner | 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 05640)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | VT | 90833 | Psychotherapy, 30 minutes with patient and/or family member | 69 | 35 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MT | |
| Family Practice | VT | |
| Physician Assistant | VT | |
| Family Practice | NH | |
| Nurse Practitioner | CA | |
| - | VT | |
| Family Practice | MA | |
| Family Practice, Pediatric Medicine | VT | |
| Physician Assistant | VT | |
| Clinical Social Worker | VT |
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