NORTHEAST KINGDOM HEALTHCARE COLLABORATIVE, LLC
NPI 1215217641
Internal Medicine - Sleep Medicine in St Johnsbury, VT

Active since August 17, 2011
468 HOSPITAL DRIVE, ST JOHNSBURY, VT 05819(802) 748-7901(802) 427-3047 Get Directions Write a Review

NPPES record last updated: September 24, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Northeast Kingdom Healthcare Collaborative, Llc NPPES

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

NORTHEAST KINGDOM HEALTHCARE COLLABORATIVE, LLC (NPI 1215217641) is a healthcare organization registered as a sleep medicine in St Johnsbury, Vermont and active in the NPI registry since August 2011. The organization lists Deborah L Brown, Enrollment Specialist, as its authorized official.

NPPES Registry Identity

NPI1215217641
Entity TypeOrganization
Primary Taxonomy207RS0012X
Legal Business NameNORTHEAST KINGDOM HEALTHCARE COLLABORATIVE, LLC
Location Address468 HOSPITAL DRIVESt Johnsbury, VT 05819
Mailing Address186 Medical Village Dr, Suite 1Newport, VT 05855 · (802) 487-2589 · Fax (802) 334-3281
Fax(802) 427-3047
Organization SubpartNo
Authorized OfficialDeborah L BrownEnrollment Specialist · (802) 487-2589
Enumeration DateAugust 17, 2011
Last NPPES UpdateSeptember 24, 2025
NPPES CertifiedSeptember 24, 2025
✔ NPI 1215217641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Sleep MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RS0012X
Definition
An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.
468 HOSPITAL DRIVE, St Johnsbury, VT 05819

Other Identifiers 1

Medicaid1019637VT

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Northeast Kingdom Healthcare Collaborative, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Northeast Kingdom Healthcare Collaborative, LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Nurse Practitioner
NPI 1811142144
185 SHERMAN DR
St Johnsbury, VT 05819
(802) 748-5041
✔ PECOS✔ Accepts Medicare0.5 mi
Anesthesiology
NPI 1083840813
189 PROUTY DR
Newport, VT 05855
(802) 334-4108
✔ PECOS✔ Accepts Medicare36 mi
Nurse Practitioner
NPI 1003949926
189 PROUTY DR
Newport, VT 05855
(802) 334-4108
✔ PECOS✔ Accepts Medicare36 mi
Internal Medicine
NPI 1073624946
189 PROUTY DR EMERGENCY DEPARTMENT
Newport, VT 05855
(802) 334-4111
✔ PECOS36 mi
Pulmonary Disease
NPI 1760592083
160 ALLEN ST
Rutland, VT 05701
(802) 775-2036
✔ PECOS✔ Accepts Medicare75 mi

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

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 Northeast Kingdom Healthcare Collaborative, LLC's NPI number?

The NPI number for Northeast Kingdom Healthcare Collaborative, LLC is 1215217641. It was assigned to this organization in the NPPES registry on August 17, 2011.

Where is Northeast Kingdom Healthcare Collaborative, LLC located?

Northeast Kingdom Healthcare Collaborative, LLC is located at 468 Hospital Drive, St Johnsbury, VT 05819. The listed phone number is (802) 748-7901.

What is Northeast Kingdom Healthcare Collaborative, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Sleep Medicine, with taxonomy code 207RS0012X.

Is Northeast Kingdom Healthcare Collaborative, LLC enrolled in Medicare?

Yes. Northeast Kingdom Healthcare Collaborative, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Northeast Kingdom Healthcare Collaborative, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians reassign their Medicare billing to Northeast Kingdom Healthcare Collaborative, LLC, in Anesthesiology, Internal Medicine, Nurse Practitioner and Pulmonary Disease. 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Northeast Kingdom Healthcare Collaborative, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Northeast Kingdom Healthcare Collaborative, LLC 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 Northeast Kingdom Healthcare Collaborative, LLC was last updated on September 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.