1. Home
  2. Directory
  3. Vermont
  4. South Burlington
  5. Nurse Practitioner
  6. NPI Profile

CATHERINE W MAINA APRN
NPI 1235525940
Nurse Practitioner - Family in South Burlington, VT

Active since April 09, 2015PECOS EnrolledAccepts Medicare Assignment
3 TIMBER LANE, UVMHN TIMBER LANE FAMILY PRACTICE, SOUTH BURLINGTON, VT 05403(802) 847-8500(802) 334-3512 Get Directions Write a Review

NPPES record last updated: January 13, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Catherine W Maina Aprn NPPES

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

CATHERINE W MAINA APRN (NPI 1235525940) is an individual family provider in South Burlington, Vermont, licensed in Vermont (101-0109814) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, is affiliated with Univ. Of Vermont - Fletcher Allen Health Care, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1235525940
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCATHERINE W MAINACredential: APRN
Location Address3 TIMBER LANE, UVMHN TIMBER LANE FAMILY PRACTICESouth Burlington, VT 05403
Mailing AddressPo Box 1150, C/o Uvmhn E ElkinsBurlington, VT 05402-1150 · (802) 847-1882
Phone(802) 847-8500
Fax(802) 334-3512
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 9, 2015
Last NPPES UpdateJanuary 13, 2020
✔ NPI 1235525940 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 · 101-0109814
3 TIMBER LANE, South Burlington, VT 05403
Open in Google Maps ↗

Other Names 1

Other Name (5)Catherine W Lawrence Aprn

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

Catherine W Maina Aprn 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 ID5092027227
PECOS Enrollment IDI20150701000661
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 4

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.
151 services68 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
65 services32 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
20 services16 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Univ. Of Vermont - Fletcher Allen Health Care

Acute Care Hospitals · Burlington, VT
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number470003
Location111 Colchester AveBurlington, VT 05401 · Chittenden County
Emergency services Birthing friendly

Porter Hospital, Inc

Critical Access Hospitals · Middlebury, VT
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number471307
Location115 Porter DriveMiddlebury, VT 05753 · Addison County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05403 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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
96%2,186 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
32%146 patients2/55-star benchmark: 88%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
9%683 patients1/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
82%683 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
7%683 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
31%683 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Catherine Maina's NPI number?

The NPI number for Catherine Maina is 1235525940. It was assigned to this individual provider in the NPPES registry on April 9, 2015. The provider is also known as Catherine W Lawrence Aprn.

Where is Catherine Maina located?

Catherine Maina practices at 3 Timber Lane Uvmhn Timber Lane Family Practice, South Burlington, VT 05403. The listed phone number is (802) 847-8500.

What is Catherine Maina's specialty?

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

Is Catherine Maina enrolled in Medicare?

Yes. Catherine Maina 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 Catherine Maina accept?

Health plans from Anthem Blue Cross and Blue Shield list Catherine Maina 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 Catherine Maina affiliated with any hospitals?

According to CMS data, Catherine Maina is affiliated with Univ. Of Vermont - Fletcher Allen Health Care and Porter Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Catherine Maina was last updated on January 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.