ANN MARIE GORHAM (APRN) – Nurse Practitioner, NPI 1699711168
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
721 NURSE PRACTITIONER in VT
Provider Addresses for ANN MARIE GORHAM (APRN)
17 Belmont Ave Ste 1
Brattleboro, VT 053013498
Phone: (802) 257-0341
Fax: (802) 257-8834
Type: Location
2, Medical Center Drive, Liberty Heights, Springfield, Hampden County, Massachusetts, 01199, United States
SUITE 206
SPRINGFIELD, MA 011071270
Phone: (413) 794-8484
Fax: (413) 794-8477
Type: Mailing
17 BELMONT AVE
BRATTLEBORO, VT 05301
Phone: (802) 251-9965
Fax: (802) 257-8834
Type: Mailing
21 BELMONT AVE STE 1
BRATTLEBORO, VT 053016762
Phone: (802) 251-9965
Fax: (802) 257-8834
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: 2020-01-21
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 |
|---|---|---|---|---|
| I20200121001378 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 26 | 21 | $0 |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 22 | 22 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 15 | 15 | $0 |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 15 | 15 | $0 |
Insurance plans in this area (ZIP 05301)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | MA | 81002 | Urinalysis, manual test | 18 | 17 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | VT | |
| - | VT | |
| - | NH | |
| - | PA | |
| Internal Medicine | NH | |
| Internal Medicine | VT | |
| Orthopedic Surgery | VT | |
| - | VT | |
| - | NH | |
| - | VT |
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