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DR. SHELLIE BURDICK LLC
NPI 1376226175
Clinic/Center - Primary Care in North Bennington, VT

Active since August 08, 2023CLIA 47D2289455 · Waiver
10 BANK ST, NORTH BENNINGTON, VT 05257(802) 732-3010(802) 732-3010 Get Directions Write a Review

NPPES record last updated: August 8, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Shellie Burdick Llc NPPES

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

DR. SHELLIE BURDICK LLC (NPI 1376226175) is a healthcare organization registered as a primary care in North Bennington, Vermont and active in the NPI registry since August 2023. The organization holds a CLIA Waiver certificate valid through September 11, 2027 and lists Shellie Burdick, Owner, as its authorized official.

NPPES Registry Identity

NPI1376226175
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameDR. SHELLIE BURDICK LLC
Location Address10 BANK STNorth Bennington, VT 05257-9101
Mailing AddressPo Box 11North Bennington, VT 05257-0011 · (802) 732-3010 · Fax (802) 732-3012
Phone(802) 732-3010
Fax(802) 732-3010
Organization SubpartNo
Authorized OfficialShellie BurdickOwner · (802) 732-3010
Enumeration DateAugust 8, 2023
NPPES CertifiedAugust 8, 2023
✔ NPI 1376226175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
10 BANK ST, North Bennington, VT 05257
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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 and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Shellie Burdick Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Dr. Shellie Burdick LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Shellie Burdick, D.O.
Family Practice
NPI 1376839332
7237 ROUTE 7
Pownal, VT 05261
(802) 681-2780
✔ PECOS✔ Accepts Medicare9.9 mi
Charisma Ann Lanez, D.O.
Family Practice
NPI 1942637988
161 BARTLEY RD
Jackson, NJ 08527
(732) 363-6140
✔ PECOS✔ Accepts Medicare200 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 47D2289455

Dr Shellie Burdick · North Bennington, VT
Active · expires Sep 11, 2027
CLIA Number47D2289455
Laboratory TypePhysician Office
Certificate Effective DateSeptember 12, 2025
Certificate Expiration DateSeptember 11, 2027
Laboratory DirectorShellie Burdick
Laboratory Phone(802) 732-3010
Laboratory LocationDr Shellie Burdick10 Bank St, North Bennington, VT 05257
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Dr. Shellie Burdick LLC's NPI number?

The NPI number for Dr. Shellie Burdick LLC is 1376226175. It was assigned to this organization in the NPPES registry on August 8, 2023.

Where is Dr. Shellie Burdick LLC located?

Dr. Shellie Burdick LLC is located at 10 Bank St, North Bennington, VT 05257. The listed phone number is (802) 732-3010.

What is Dr. Shellie Burdick LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Dr. Shellie Burdick LLC enrolled in Medicare?

Yes. Dr. Shellie Burdick LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dr. Shellie Burdick LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Family Practice, reassign their Medicare billing to Dr. Shellie Burdick LLC. 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.

Does Dr. Shellie Burdick LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 47D2289455) is associated with this NPI, valid through September 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Dr. Shellie Burdick LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Dr. Shellie Burdick 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 Dr. Shellie Burdick LLC was last updated on August 8, 2023. 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.