JENNIFER MARY FAUNTLEROY (M.D.) – Psychiatry Physician, NPI 1669448981

JENNIFER MARY FAUNTLEROY (M.D.) is a healthcare provider. based in Rutland, Vermont. specializing in PSYCHIATRY. They hold the professional credentials M.D.. They hold a License No. 042-0009568 (VT). The NPI Number for JENNIFER MARY FAUNTLEROY (M.D.) is 1669448981

Main info

Female
Sole Proprietor
48 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER MARY FAUNTLEROY (M.D.)
NPI
1669448981
Phone
(802) 775-1398
Address
11 COURT SQ
Enumeration Date
27 February 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
NEW YORK UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8027751398
Graduation Year
1978 (48 years ago)
PAC ID
9234028705
Professional Enrollment ID
I20051219000037
Address ID
VT057014030RU11XXXSQXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

156 PSYCHIATRY in VT

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Provider Addresses for JENNIFER MARY FAUNTLEROY (M.D.)

  • 11, Court Square, Rutland City, Rutland County, Vermont, 05701, United States

    RUTLAND, VT 057014030

    Phone: (802) 775-1398

    Fax: (802) 775-5196

    Mailing address matches the actual address.

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: 2005-12-19

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
I20051219000037IPsychiatryVTTBD

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
90837Psychotherapy, 1 hour54017$0
99214Established patient office or other outpatient visit, 30-39 minutes10828$0
99213Established patient office or other outpatient visit, 20-29 minutes5218$0
View full utilization report →

Insurance plans in this area (ZIP 05701)

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Reviews

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Frequently asked questions

Is there an official ID for JENNIFER MARY FAUNTLEROY (M.D.) in U.S. healthcare records?
The official identifier for JENNIFER MARY FAUNTLEROY (M.D.) is NPI 1669448981.
Active or inactive — what applies to JENNIFER MARY FAUNTLEROY (M.D.)?
You should see JENNIFER MARY FAUNTLEROY (M.D.) as active in CMS-hosted NPPES data.
What area of care is associated with JENNIFER MARY FAUNTLEROY (M.D.)?
JENNIFER MARY FAUNTLEROY (M.D.)'s record emphasizes Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for JENNIFER MARY FAUNTLEROY (M.D.)?
Travel planning: use Rutland, Vermont as the reference point for JENNIFER MARY FAUNTLEROY (M.D.), then confirm.
When was this NPI issued?
Enumeration for JENNIFER MARY FAUNTLEROY (M.D.) is noted as February 27, 2006 where the registry provides it.

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