LUCY E R SHORTSLEEVES PAC
NPI 1225395890
Physician Assistant in Rutland, VT

Q: What is Lucy Shortsleeves's NPI number?

The NPI number for Lucy Shortsleeves is 1225395890. It was assigned to this individual provider in the NPPES registry on April 19, 2012.

Q: What is Lucy Shortsleeves's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Lucy Shortsleeves was last updated on May 28, 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.

Active since April 19, 2012PECOS EnrolledAccepts Medicare Assignment

215 STRATTON RD, RUTLAND, VT 05701(802) 773-3386 Get Directions Write a Review

NPPES record last updated: May 28, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 6, 2021, May 24, 2018 (2 updates tracked since 2018).

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About Lucy E R Shortsleeves Pac NPPES

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

LUCY E R SHORTSLEEVES PAC (NPI 1225395890) is an individual physician assistant in Rutland, Vermont, licensed in Maine (PA1668) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS, is affiliated with Rutland Regional Medical Center, and maintains a secondary practice location in Bangor.

NPPES Registry Identity

NPI1225395890

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameLUCY E R SHORTSLEEVESCredential: PAC

Location Address215 STRATTON RDRutland, VT 05701-4621

Mailing AddressPo Box 1599, Penobscot Community Health CenterBangor, ME 04402-1599 · (207) 945-5247

Phone(802) 773-3386

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateApril 19, 2012

Last NPPES UpdateMay 28, 20242 updates tracked since enumeration

NPPES CertifiedMay 28, 2024

✔ NPI 1225395890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in ME · PA1668

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

215 STRATTON RD, Rutland, VT 05701

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Secondary Practice Location 1

Location 11068 Union St, Penobscot PediatricsBangor, ME 04401 · Phone (207) 947-0147

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Lucy E R Shortsleeves Pac 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 ID5698058972

PECOS Enrollment IDI20231003002297

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

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.

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

30 services30 patients

Hospital Affiliations CMS Care Compare

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

Rutland Regional Medical Center

Acute Care Hospitals · Rutland, VT

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number470005

Location160 Allen StRutland, VT 05701 · Rutland County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05701 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

$69.56 typical visit price

range $18.08 – $137.84

Typical copayment $17.39 (range $4.52 – $34.46)

Most-billed visit code 99213

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 20

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

BROOKE J WHALEN LICSW

Social Worker (Clinical)