JOHN-PAUL CLOUTIER NP
NPI 1205492196
Nurse Practitioner - Psychiatric/Mental Health in Newport, VT

Active since May 15, 2019PECOS EnrolledAccepts Medicare Assignment
33.26/100
CMS Quality Rating
181 CRAWFORD ROAD, PO BOX 724, NEWPORT, VT 05855(802) 334-6744(802) 473-4120 Get Directions Write a Review

NPPES record last updated: July 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 10, 2024, Feb 22, 2021, May 15, 2019 (3 updates tracked since 2019).

About John-paul Cloutier Np NPPES

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

JOHN-PAUL CLOUTIER NP (NPI 1205492196) is an individual psychiatric/mental health provider in Newport, Vermont, licensed in Vermont (101.0134317) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS, is affiliated with Northeastern Vermont Regional Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1205492196
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameJOHN-PAUL CLOUTIERCredential: NP
Location Address181 CRAWFORD ROAD, PO BOX 724Newport, VT 05855-0724
Mailing Address181 Crawford Road, Po Box 724Newport, VT 05855-0724 · (802) 334-6744 · Fax (802) 473-4120
Fax(802) 473-4120
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateMay 15, 2019
Last NPPES UpdateJuly 10, 20243 updates tracked since enumeration
NPPES CertifiedJuly 10, 2024
NPI 1205492196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in VT · 101.0134317
181 CRAWFORD ROAD, Newport, VT 05855

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

John-paul Cloutier Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9638405434
PECOS Enrollment IDI20190801000624
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
231 services115 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
76 services72 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northeastern Vermont Regional Hospital

Critical Access Hospitals · Saint Johnsbury, VT
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number471303
Location1315 Hospital DriveSaint Johnsbury, VT 05819 · Caledonia County
Emergency services Birthing friendly

North Country Hospital And Health Center

Critical Access Hospitals · Newport, VT
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number471304
Location189 Prouty DriveNewport, VT 05855 · Orleans County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05855 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

33.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality8.51
Promoting Interoperability0
Improvement Activities20
Cost60.71

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 John-paul Cloutier's NPI number?

The NPI number for John-paul Cloutier is 1205492196. It was assigned to this individual provider in the NPPES registry on May 15, 2019.

Where is John-paul Cloutier located?

John-paul Cloutier practices at 181 Crawford Road PO Box 724, Newport, VT 05855. The listed phone number is (802) 334-6744.

What is John-paul Cloutier's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is John-paul Cloutier enrolled in Medicare?

Yes. John-paul Cloutier is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does John-paul Cloutier accept?

Health plans from Harvard Pilgrim Health Care list John-paul Cloutier 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.

Is John-paul Cloutier affiliated with any hospitals?

According to CMS data, John-paul Cloutier is affiliated with Northeastern Vermont Regional Hospital and North Country Hospital And Health Center.

When was this NPI record last updated?

The NPPES record for John-paul Cloutier was last updated on July 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.