TACONIC ESSENTIAL PRIMARY CARE
NPI 1023829876
Nurse Practitioner - Primary Care in Rutland, VT
About Taconic Essential Primary Care NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TACONIC ESSENTIAL PRIMARY CARE (NPI 1023829876) is a healthcare organization registered as a primary care in Rutland, Vermont and active in the NPI registry since January 2025. The organization holds a CLIA Waiver certificate valid through July 6, 2027 and lists Matthew T Dayton, Co Owner / Practice Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Taconic Essential Primary Care 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 Taconic Essential Primary Care, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 47D2326510
Taconic Essential Primary Care · Rutland, VTFrequently 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 Taconic Essential Primary Care's NPI number?
The NPI number for Taconic Essential Primary Care is 1023829876. It was assigned to this organization in the NPPES registry on January 20, 2025.
Where is Taconic Essential Primary Care located?
Taconic Essential Primary Care is located at 228 S Main St Apt 51, Rutland, VT 05701. The listed phone number is (802) 772-7107.
What is Taconic Essential Primary Care's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Taconic Essential Primary Care enrolled in Medicare?
Yes. Taconic Essential Primary Care is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Taconic Essential Primary Care?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Taconic Essential Primary Care. 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 Taconic Essential Primary Care hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 47D2326510) is associated with this NPI, valid through July 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Taconic Essential Primary Care was last updated on August 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.
# Taconic Essential Primary Care · NPI 1023829876
Primary Care organization in Rutland, Vermont. Organization record, active in the CMS NPPES registry since January 20, 2025.
## Identity
- **NPI:** 1023829876 (Entity type: Organization)
- **Enumerated:** January 20, 2025
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **Organization subpart:** No
- **Authorized official:** Matthew Dayton, CO OWNER / PRACTICE MANAGER
## Practice location
- **Address:** 228 S MAIN ST APT 51, Rutland, VT 05701-4868
- **Phone:** (802) 772-7107 · **Fax:** (802) 772-9003
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 24, 2026
- **Other identifiers:** Medicaid 6712491 (VT)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1023829876) · Data from the CMS NPPES public registry.