Unknown Individual – Emergency Medicine Physician, NPI 1386714657

Unknown Individual is a healthcare provider. based in Barre, Vermont. specializing in Emergency Medicine Physician. They hold a License No. 042.0011267 (VT). The NPI Number for Unknown Individual is 1386714657

Main info

Organization
Inactive
43 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1386714657
Phone
(802) 371-4365
Address
PO BOX 547
Deactivation Date
2 January 2025

Doctor Profile

Medical School Name
JS WEILL MEDICAL COLLEGE, CORNELL UNIVERSITY
Secondary Phone
8023714235
Graduation Year
1983 (43 years ago)
PAC ID
8820191612
Group Practice PAC ID
9335138817
Professional Enrollment ID
I20070315000378
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • PO BOX 547

    ATT: CVMC FINANCE DEPT

    BARRE, VT 056410547

    Phone: (802) 371-4365

    Fax: (802) 371-4481

    Type: Mailing

  • Central Vermont Medical Center, 130, Fisher Road, Berlin, Washington County, Vermont, 05602, United States

    EMERGENCY MEDICINE

    BERLIN, VT 056029516

    Phone: (802) 371-4365

    Fax: (802) 371-4481

    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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 05641)

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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: 9335138817View full group profile
NameSpecialtyState
Nurse PractitionerVT
-VT
Orthopedic SurgeryVT
Nurse PractitionerVT
-VT
Physician AssistantVT
Nurse PractitionerVT
Nurse PractitionerVT
Nurse PractitionerVT
Physician AssistantVT

Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1386714657 when you need to reference Unknown Individual in forms, claims, or directories.
What is the next step if Unknown Individual is inactive?
Treat inactive as a signal to verify Unknown Individual through official channels.
What kind of provider is Unknown Individual?
The page reflects Emergency Medicine Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists Barre, Vermont for Unknown Individual; download NPPES for the complete set.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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