CHAMPLAIN MEDICAL ASSOCIATES PLLC
NPI 1013273697
Family Medicine in S Burlington, VT

Active since April 08, 2012CLIA 47D2041266 · Waiver
150 KENNEDY DR, S BURLINGTON, VT 05403(802) 448-9370(802) 448-1414 Get Directions Write a Review

NPPES record last updated: January 31, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Champlain Medical Associates Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHAMPLAIN MEDICAL ASSOCIATES PLLC (NPI 1013273697) is a healthcare organization registered as a family medicine in S Burlington, Vermont and active in the NPI registry since April 2012. The organization holds a CLIA Waiver certificate valid through May 20, 2028 and lists Beth Schiller, Partner, as its authorized official.

NPPES Registry Identity

NPI1013273697
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCHAMPLAIN MEDICAL ASSOCIATES PLLC
Location Address150 KENNEDY DRS Burlington, VT 05403-6749
Mailing Address150 Kennedy DrS Burlington, VT 05403-6749
Fax(802) 448-1414
Organization SubpartNo
Authorized OfficialBeth SchillerPartner · (518) 963-4355
Enumeration DateApril 8, 2012
Last NPPES UpdateJanuary 31, 2014
✔ NPI 1013273697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
150 KENNEDY DR, S Burlington, VT 05403

Other Identifiers 1

Medicare PIN0026616VT

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Champlain Medical Associates Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Champlain Medical Associates PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1396141966
150 KENNEDY DR
S Burlington, VT 05403
(802) 448-9370
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 47D2041266

Champlain Medical Associates · South Burlington, VT
Active · expires May 20, 2028
CLIA Number47D2041266
Laboratory TypePhysician Office
Certificate Effective DateMay 21, 2026
Certificate Expiration DateMay 20, 2028
Laboratory DirectorJoshua Schwartzberg
Laboratory Phone(802) 448-9370
Laboratory LocationChamplain Medical Associates150 Kennedy Dr, South Burlington, VT 05403
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Champlain Medical Associates PLLC's NPI number?

The NPI number for Champlain Medical Associates PLLC is 1013273697. It was assigned to this organization in the NPPES registry on April 8, 2012.

Where is Champlain Medical Associates PLLC located?

Champlain Medical Associates PLLC is located at 150 Kennedy Dr, S Burlington, VT 05403. The listed phone number is (802) 448-9370.

What is Champlain Medical Associates PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Champlain Medical Associates PLLC enrolled in Medicare?

Yes. Champlain Medical Associates PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Champlain Medical Associates PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Champlain Medical Associates PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Champlain Medical Associates PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 47D2041266) is associated with this NPI, valid through May 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Champlain Medical Associates PLLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Champlain Medical Associates PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Champlain Medical Associates PLLC was last updated on January 31, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.