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ELIZABETH FUCCILLO
NPI 1326576349
Physician Assistant - Surgical in Burlington, VT

Active since June 03, 2017PECOS EnrolledAccepts Medicare Assignment
789 PINE ST, BURLINGTON, VT 05401(802) 864-0693(802) 860-4324 Get Directions Write a Review

NPPES record last updated: November 4, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 4, 2022, Oct 24, 2018, Jun 3, 2017 (3 updates tracked since 2017).

About Elizabeth Fuccillo NPPES

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

ELIZABETH FUCCILLO (NPI 1326576349) is an individual surgical provider in Burlington, Vermont, licensed in Vermont (055.0031603) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, is affiliated with Univ. Of Vermont - Fletcher Allen Health Care, and maintains a secondary practice location in Burlington.

NPPES Registry Identity

NPI1326576349
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameELIZABETH FUCCILLO
Location Address789 PINE STBurlington, VT 05401-4924
Mailing Address656 Kent AveTeaneck, NJ 07666-1607
Phone(802) 864-0693
Fax(802) 860-4324
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateJune 3, 2017
Last NPPES UpdateNovember 4, 20223 updates tracked since enumeration
NPPES CertifiedNovember 4, 2022
✔ NPI 1326576349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in VT · 055.0031603
789 PINE ST, Burlington, VT 05401
Open in Google Maps ↗

Secondary Practice Location 1

Location 1617 Riverside AveBurlington, VT 05401-1601 · Phone (800) 028-6463

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

Elizabeth Fuccillo 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 ID7911263132
PECOS Enrollment IDI20220916000741
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 5

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.

Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
27 services22 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
17 services17 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
17 services17 patients
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.
13 services13 patients
Blood test, thyroid stimulating hormone (tsh) 84443
A TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

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.

DANIEL KRAUCUNAS ATC
Specialist/Technologist (Athletic Trainer)
789 PINE ST
BURLINGTON, VT 05401
Chittenden County (802) 264-1052
JACOB ISRAEL SHAW MD
Family Medicine
789 PINE ST
BURLINGTON, VT 05401
Chittenden County (802) 864-0693
MS. THERESE MARIE RAY M.D.
Family Medicine
789 PINE ST
BURLINGTON, VT 05401
Chittenden County (802) 864-0693
MRS. HEATHER ANNE LAROSE PAC
Physician Assistant (Medical)
789 PINE ST
BURLINGTON, VT 05401
Chittenden County (802) 864-0693
ROBERT A PENNEY MD
Family Medicine
789 PINE ST
BURLINGTON, VT 05401
Chittenden County (802) 864-0693
DR. PATRICK J PALDINO DDS
Dentist (General Practice)
789 PINE ST
BURLINGTON, VT 05401
Chittenden County (802) 862-1939
STEPHANIE COWAN BELLOMO MD
Family Medicine
789 PINE ST
BURLINGTON, VT 05401
Chittenden County (802) 864-0693
JAMIE CHARLSON DNP, FNP-BC
Nurse Practitioner (Family)
789 PINE ST
BURLINGTON, VT 05401
Chittenden County (802) 864-0693

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 Elizabeth Fuccillo's NPI number?

The NPI number for Elizabeth Fuccillo is 1326576349. It was assigned to this individual provider in the NPPES registry on June 3, 2017.

Where is Elizabeth Fuccillo located?

Elizabeth Fuccillo practices at 789 Pine St, Burlington, VT 05401. The listed phone number is (802) 864-0693.

What is Elizabeth Fuccillo's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Elizabeth Fuccillo enrolled in Medicare?

Yes. Elizabeth Fuccillo 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 Elizabeth Fuccillo accept?

Health plans from Anthem Blue Cross and Blue Shield list Elizabeth Fuccillo 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 Elizabeth Fuccillo affiliated with any hospitals?

According to CMS data, Elizabeth Fuccillo is affiliated with Univ. Of Vermont - Fletcher Allen Health Care.

When was this NPI record last updated?

The NPPES record for Elizabeth Fuccillo was last updated on November 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.