MS. MADELINE B MANN (NP) – Family Nurse Practitioner, NPI 1003075508
Family Nurse Practitioner
Main info
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MS. MADELINE B MANN (NP)
11 HAYDENBERRY DR
MILTON, VT 054682200
Phone: (802) 846-1200
Type: Location
51, Timber Lane, South Burlington, Chittenden County, Vermont, 05403, United States
SOUTH BURLINGTON, VT 054035201
Phone: (802) 864-0521
Fax: (802) 864-6475
Type: Location
10, Knight Lane, Tafts Corner, Williston, Chittenden County, Vermont, 05495, United States
WILLISTON, VT 054959308
Phone: (802) 872-4343
Fax: (802) 288-1144
Type: Mailing
51 Timber Ln
South Burlington, VT 054035201
Phone: (802) 864-0521
Fax: (802) 864-6475
Type: Location
600 BLAIR PARK RD STE 285
WILLISTON, VT 054957586
Phone: (802) 288-1140
Fax: (802) 288-1144
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: 2012-07-23
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 |
|---|---|---|---|---|
| I20120723000463 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 05468)
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