MAXINE WILLOWS (MD) – Psychiatry Physician, NPI 1740740539

MAXINE WILLOWS (MD) is a healthcare provider. based in Berlin, Vermont. specializing in PSYCHIATRY. They hold the professional credentials MD. They hold a License No. 042.0017061 (VT). The NPI Number for MAXINE WILLOWS (MD) is 1740740539

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
MAXINE WILLOWS (MD)
NPI
1740740539
Phone
(802) 371-4316
Address
130 Fisher Rd Unit 1
Enumeration Date
20 March 2019
Last Update Date
6 May 2026

Doctor Profile

Medical School Name
UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL
Secondary Phone
8028283300
Graduation Year
2019 (7 years ago)
PAC ID
6406189554
Group Practice PAC ID
0446487011
Professional Enrollment ID
I20240110000880
Address ID
VT056337901MO350XXRDXX300
Data current as of
3 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness85
Years active:7State licenses:1Digital endpointsOther names

155 PSYCHIATRY in VT

Provider Addresses for MAXINE WILLOWS (MD)

  • 130 Fisher Rd Unit 1

    Berlin, VT 056028132

    Phone: (802) 371-4316

    Type: Location

  • 14, Belcourt Road, Worcester, Worcester County, Massachusetts, 01653, United States

    WORCESTER, MA 016052343

    Phone: (413) 636-2319

    Type: Mailing

  • University of Vermont Medical Center, 111, Colchester Avenue, Burlington, Chittenden County, Vermont, 05401, United States

    BURLINGTON, VT 054011473

    Phone: (413) 636-2319

    Type: Location

  • 111 Colchester Ave

    Burlington, VT 054011473

    Phone: (802) 847-0552

    Type: Location

  • 350 Fisher Rd

    Montpelier, VT 056331473

    Phone: (802) 828-3300

    Type: Location

  • 30 HENRY ST

    BURLINGTON, VT 054013329

    Phone: (413) 636-2319

    Type: Mailing

  • 130 FISHER RD UNIT 1

    BERLIN, VT 056028132

    Phone: (802) 371-4316

    Type: Location

  • 65 MILLET ST STE 203

    RICHMOND, VT 054779623

    Phone:

    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: 2024-01-10

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
I20240110000880IPsychiatryVTTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 05602)

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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: 0446487011View full group profile
NameSpecialtyState
P S Y C H I A T R YVT
-VT
-VT
P S Y C H I A T R YNJ
P S Y C H I A T R YNY
P S Y C H I A T R YVT

Reviews

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Frequently asked questions

What is MAXINE WILLOWS (MD)'s NPI number?
MAXINE WILLOWS (MD)'s NPI is 1740740539 — the number used across U.S. healthcare to identify this provider.
Is MAXINE WILLOWS (MD) shown as active in public data?
Registry records indicate MAXINE WILLOWS (MD) maintains an active NPI.
What area of care is associated with MAXINE WILLOWS (MD)?
MAXINE WILLOWS (MD)'s record emphasizes Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with MAXINE WILLOWS (MD)?
Directory geography for MAXINE WILLOWS (MD) centers on Berlin, Vermont.
Can I trust this NPI listing for MAXINE WILLOWS (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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