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ANDREW SEMEGRAM APRN, FNP-C, CEN
NPI 1164943692
Nurse Practitioner - Family in Townshend, VT

Active since July 06, 2017PECOS Enrolled
PO BOX 216, TOWNSHEND, VT 05353(802) 365-7676(802) 365-7294 Get Directions Write a Review

NPPES record last updated: May 13, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 13, 2021, Jul 6, 2017 (2 updates tracked since 2017).

About Andrew Semegram Aprn, Fnp-c, Cen NPPES

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

ANDREW SEMEGRAM APRN, FNP-C, CEN (NPI 1164943692) is an individual family provider in Townshend, Vermont, licensed in Vermont (101.0130940) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1164943692
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameANDREW SEMEGRAMCredential: APRN, FNP-C, CEN
Location AddressPO BOX 216Townshend, VT 05353-0216
Mailing Address82 Atkinson St Apt 1Bellows Falls, VT 05101-1322 · (201) 693-3999
Phone(802) 365-7676
Fax(802) 365-7294
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 6, 2017
Last NPPES UpdateMay 13, 20212 updates tracked since enumeration
NPPES CertifiedMay 13, 2021
✔ NPI 1164943692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in VT · 101.0130940
PO BOX 216, Townshend, VT 05353
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Alabama, WellSense Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrew Semegram Aprn, Fnp-c, Cen is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5991078024
PECOS Enrollment IDI20230807003132
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Andrew Semegram reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Carlos G Otis Health Care Center Inc
1.5 mi
Medicare Defined Swing Bed Unit
185 GRAFTON RD
Townshend, VT 05353
  • Reassigned Medicare billing, Vermont enrollment
  • Also billed through NPI 1255337473 (Vermont)
  • 74 clinicians in this Medicare group
NPI 1093843328 (802) 365-7357
University Of Alabama Health Services Foundation, PC
1,000 mi
Clinical Medical Laboratory
720 20TH STREET SOUTH
Birmingham, AL 35294
  • Reassigned Medicare billing, Alabama enrollment
  • 4,494 clinicians in this Medicare group
NPI 1366638330 (205) 934-4983

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05353 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.89 typical visit price
range $55.80 – $168.48
Typical copayment $21.47 (range $13.95 – $42.12)
Most-billed visit code 99203
Established Patient
$98.40 typical visit price
range $18.08 – $137.84
Typical copayment $24.60 (range $4.52 – $34.46)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. MEREDITH L KENYON LICSW
Social Worker (Clinical)
PO BOX 216
TOWNSHEND, VT 05353
Windham County (028) 365-5392

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 Andrew Semegram's NPI number?

The NPI number for Andrew Semegram is 1164943692. It was assigned to this individual provider in the NPPES registry on July 6, 2017.

Where is Andrew Semegram located?

Andrew Semegram practices at PO Box 216, Townshend, VT 05353. The listed phone number is (802) 365-7676.

What is Andrew Semegram's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Andrew Semegram enrolled in Medicare?

Yes. Andrew Semegram is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Andrew Semegram's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Semegram reassigns Medicare benefits to 2 organizations: Carlos G Otis Health Care Center Inc (Townshend, VT) and University Of Alabama Health Services Foundation, PC (Birmingham, AL). Each 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 Andrew Semegram's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrew Semegram accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Alabama and WellSense Health Plan list Andrew Semegram 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 Andrew Semegram was last updated on May 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.