MS. CLODAGH COGHLAN (N.P.) – Nurse Practitioner, NPI 1417908286

MS. CLODAGH COGHLAN (N.P.) is a healthcare provider. based in Burlington, Vermont. specializing in NURSE PRACTITIONER. They hold the professional credentials N.P.. They hold a License No. 1010018859 (VT). The NPI Number for MS. CLODAGH COGHLAN (N.P.) is 1417908286

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
MS. CLODAGH COGHLAN (N.P.)
NPI
1417908286
Phone
(802) 864-6309
Address
184 S Winooski Ave
Enumeration Date
15 May 2006
Last Update Date
18 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8028601441
Graduation Year
1997 (29 years ago)
PAC ID
7618912148
Group Practice PAC ID
2062491251
Professional Enrollment ID
I20050624000101
Address ID
VT054036236SO368XXSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

721 NURSE PRACTITIONER in VT

Provider Addresses for MS. CLODAGH COGHLAN (N.P.)

  • 184 S Winooski Ave

    Burlington, VT 054014535

    Phone: (802) 864-6309

    Type: Location

  • 789 Pine St

    Burlington, VT 054014924

    Phone: (802) 864-0693

    Type: Location

  • 368, Dorset Street, Dorset Street Retail Zone, South Burlington, Chittenden County, Vermont, 05403, United States

    SUITE 1

    SOUTH BURLINGTON, VT 054036236

    Phone: (802) 860-1441

    Fax: (802) 860-4646

    Type: Mailing

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: 2005-06-24

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
I20050624000101INurse PractitionerVTTBD

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
80053Blood test, comprehensive group of blood chemicals4238$0
80061Blood test, lipids (cholesterol and triglycerides)2927$0
84443Blood test, thyroid stimulating hormone (tsh)2424$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report2120$0
81003Automated urinalysis test1817$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: 2062491251View full group profile

Reviews

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Frequently asked questions

Is there an official ID for MS. CLODAGH COGHLAN (N.P.) in U.S. healthcare records?
The official identifier for MS. CLODAGH COGHLAN (N.P.) is NPI 1417908286.
Is there an active status for MS. CLODAGH COGHLAN (N.P.)?
For scheduling context, MS. CLODAGH COGHLAN (N.P.) is shown as active in the registry.
How would a patient describe MS. CLODAGH COGHLAN (N.P.)'s focus?
For MS. CLODAGH COGHLAN (N.P.), the primary taxonomy reads as Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is MS. CLODAGH COGHLAN (N.P.) located near Burlington?
MS. CLODAGH COGHLAN (N.P.) currently maps to Burlington, Vermont in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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