KARA KATHERINE ROZENDAAL (PA) – Physician Assistant, NPI 1811494669

KARA KATHERINE ROZENDAAL (PA) is a healthcare provider. based in South burlington, Vermont. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 055.0031384 (VT). The NPI Number for KARA KATHERINE ROZENDAAL (PA) is 1811494669

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
KARA KATHERINE ROZENDAAL (PA)
NPI
1811494669
Phone
(802) 660-8808
Address
325 DORSET ST
Enumeration Date
9 April 2018
Last Update Date
12 August 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8026608808
Graduation Year
2018 (8 years ago)
PAC ID
5890059448
Group Practice PAC ID
3173939766
Professional Enrollment ID
I20180507000837
Address ID
VT054036639SO321XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

385 PHYSICIAN ASSISTANT in VT

Loading map...

Provider Addresses for KARA KATHERINE ROZENDAAL (PA)

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

    SOUTH BURLINGTON, VT 054036351

    Phone: (802) 660-8808

    Type: Location

  • 321 DORSET ST

    SOUTH BURLINGTON, VT 054036639

    Phone: (802) 660-8808

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2018-05-07

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
I20180507000837IPhysician AssistantVTTBD

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
17003Destruction of precancer skin growth, 2-14 growths38487$0
99214Established patient office or other outpatient visit, 30-39 minutes278243$0
17110Destruction of skin growth, 1-14 growths144118$0
17000Destruction of precancer skin growth, 1 growth143128$0
99213Established patient office or other outpatient visit, 20-29 minutes7062$0
View full utilization report →

Insurance plans in this area (ZIP 05403)

Loading plans...

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: 3173939766View full group profile
NameSpecialtyState
D E R M A T O L O G YVT
D E R M A T O L O G YVT

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How is KARA KATHERINE ROZENDAAL (PA) identified in CMS data?
CMS-hosted NPPES data lists KARA KATHERINE ROZENDAAL (PA) with NPI 1811494669.
Does the file indicate KARA KATHERINE ROZENDAAL (PA) is practicing under active NPI?
Directory data currently reports KARA KATHERINE ROZENDAAL (PA) as active.
What is KARA KATHERINE ROZENDAAL (PA)'s primary classification?
Physician Assistant is the headline specialty for KARA KATHERINE ROZENDAAL (PA) here. Clinical services aligned with this taxonomy classification.
Where should I expect KARA KATHERINE ROZENDAAL (PA) on a map?
Expect South Burlington, Vermont as a primary anchor for KARA KATHERINE ROZENDAAL (PA) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

Similar Providers

2 Healey Ave
NPI: 1811990104

LAKE CHAMPLAIN GYNECOLOGIC ONCOLOGY, PC

Gynecologic Oncology Physician
1060, Hinesburg Road, South Burlington, Chittenden County, Vermont, 05403, United States
NPI: 1164418455

GEORGIA D ELTABBAKH (P.A.)

Medical Physician Assistant
1060, Hinesburg Road, South Burlington, Chittenden County, Vermont, 05403, United States
NPI: 1871589150

MS. TRACIE L HAMMOND (PA-C)

Physician Assistant
192, Tilley Drive, South Burlington, Chittenden County, Vermont, 05403, United States
NPI: 1629056817
192, Tilley Drive, South Burlington, Chittenden County, Vermont, 05403, United States
NPI: 1609829183

MS. ANDREA LEIGH DECKER

Physician Assistant
75 Beekman St
NPI: 1366476400

MR. PAUL BENJAMIN JERARD

Physician Assistant
University of Vermont Medical Center, 111, Colchester Avenue, Burlington, Chittenden County, Vermont, 05401, United States
NPI: 1811915671
1820 58TH AVE STE 110
NPI: 1831118595

MS. ANNE M PELKEY (PA)

Physician Assistant
3, Timber Lane, South Burlington, Chittenden County, Vermont, 05403, United States
NPI: 1578573341