ESSEX PEDIATRICS PC
NPI 1104925817
Pediatrics in Essex Jct, VT
About Essex Pediatrics Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ESSEX PEDIATRICS PC (NPI 1104925817) is a healthcare organization registered as a pediatrics in Essex Jct, Vermont and active in the NPI registry since September 2006. The organization holds a CLIA Certificate of Compliance certificate valid through September 8, 2028 and lists Sue Rogers-low, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Essex Pediatrics Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Essex Pediatrics PC, which bills Medicare for the services they deliver. Of these, 5 practice at this address. They are listed nearest first.
Clinicians, nearest first (5)
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 Compliance 47D0091383
Essex Pediatrics · Essex Junction, 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 Essex Pediatrics PC's NPI number?
The NPI number for Essex Pediatrics PC is 1104925817. It was assigned to this organization in the NPPES registry on September 21, 2006.
Where is Essex Pediatrics PC located?
Essex Pediatrics PC is located at 89 Main St, Essex Jct, VT 05452. The listed phone number is (802) 879-6556.
What is Essex Pediatrics PC's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Essex Pediatrics PC enrolled in Medicare?
Yes. Essex Pediatrics PC is registered in the Medicare PECOS enrollment system.
When is Essex Pediatrics PC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Vermont, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Essex Pediatrics PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Essex Pediatrics PC. 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. The largest specialties are Pediatric Medicine (3) and Nurse Practitioner (2). Of these, 5 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Essex Pediatrics PC hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 47D0091383) is associated with this NPI, valid through September 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Essex Pediatrics PC accept?
Health plans from Anthem Blue Cross and Blue Shield list Essex Pediatrics PC 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 Essex Pediatrics PC was last updated on May 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Essex Pediatrics Pc · NPI 1104925817
Pediatrics organization in Essex Jct, Vermont. Organization record, active in the CMS NPPES registry since September 21, 2006.
## Identity
- **NPI:** 1104925817 (Entity type: Organization)
- **Enumerated:** September 21, 2006
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **Organization subpart:** No
- **Authorized official:** Sue Rogers-Low, OFFICE MANAGER
## Practice location
- **Address:** 89 MAIN ST, Essex Jct, VT 05452-3207
- **Phone:** (802) 879-6556 · **Fax:** (802) 872-8021
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Vermont, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 5 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Pediatric Medicine (3), Nurse Practitioner (2); 5 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 9, 2023
- **Other identifiers:** Medicaid OVN1603 (VT)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1104925817) · Data from the CMS NPPES public registry.