NVRH ST. JOHNSBURY PEDIATRICS
NPI 1487732301
Clinic/Center - Primary Care in St Johnsbury, VT

Active since November 01, 2006CLIA 47D0091973 · Waiver
97 SHERMAN DRIVE, ST JOHNSBURY, VT 05819(802) 748-5131(802) 748-4237 Get Directions Write a Review

NPPES record last updated: February 11, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Nvrh St. Johnsbury Pediatrics NPPES

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

NVRH ST. JOHNSBURY PEDIATRICS (NPI 1487732301) is a healthcare organization registered as a primary care in St Johnsbury, Vermont and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through January 31, 2028 and lists Robert N Hersey, Cfo, as its authorized official.

NPPES Registry Identity

NPI1487732301
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameNORTHEASTERN VERMONT REGIONAL HOSPITAL, INC
Location Address97 SHERMAN DRIVESt Johnsbury, VT 05819-9280
Mailing Address1315 Hospital Drive, Po Box 905St Johnsbury, VT 05819-9210 · (802) 748-8141 · Fax (802) 748-4098
Fax(802) 748-4237
Organization SubpartNo
Authorized OfficialRobert N HerseyCfo · (802) 748-7520
Enumeration DateNovember 1, 2006
Last NPPES UpdateFebruary 11, 2020
✔ NPI 1487732301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in VT · 673
Also ListedClinic/Center · Rural HealthTaxonomy 261QR1300X · License 673 (VT)
97 SHERMAN DRIVE, St Johnsbury, VT 05819

Other Names 1

Doing Business AsNvrh St. Johnsbury Pediatrics

Other Identifiers 1

Medicaid3076791NH

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)

Nvrh St. Johnsbury Pediatrics is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

15

Medicare enrollment records show 15 clinicians reassign Medicare billing to Nvrh St. Johnsbury Pediatrics, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 7 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Pediatric Medicine8
Nurse Practitioner4
Clinical Social Worker2
Psychiatry1

Clinicians, nearest first (15)

Nurse Practitioner
NPI 1831746494
97 SHERMAN DR
St Johnsbury, VT 05819
(802) 748-5131
✔ PECOSSame address
Pediatric Medicine
NPI 1619979200
97 SHERMAN DR STE 1
St Johnsbury, VT 05819
(802) 748-5131
✔ PECOSSame address
Pediatric Medicine
NPI 1184129355
97 SHERMAN DR STE 1
St Johnsbury, VT 05819
(802) 748-5131
✔ PECOSSame address
Pediatric Medicine
NPI 1720152655
97 SHERMAN DR NVRH ST. JOHNSBURY PEDIATRICS
St Johnsbury, VT 05819
(802) 748-5131
✔ PECOSSame address
Pediatric Medicine
NPI 1073140075
1315 HOSPITAL DR
St Johnsbury, VT 05819
(802) 748-7424
✔ PECOS0.1 mi
Nurse Practitioner
NPI 1912029224
1315 HOSPITAL DRIVE
St Johnsbury, VT 05819
(802) 748-8141
✔ PECOS✔ Accepts Medicare0.1 mi
Clinical Social Worker
NPI 1578739140
195 INDUSTRIAL PKWY STE 1
Lyndonville, VT 05851
(802) 748-9501
✔ PECOS✔ Accepts Medicare4.1 mi
Nurse Practitioner
NPI 1669978094
186 MEDICAL VILLAGE DRIVE
Newport, VT 05855
(802) 334-3520
✔ PECOS37 mi
Pediatric Medicine
NPI 1982108908
53 MARION RD UNIT 1
Wareham, MA 02571
(508) 295-8266
✔ PECOS197 mi
Pediatric Medicine
NPI 1164580726
38B GROVE ST
Ridgefield, CT 06877
(203) 438-9557
✔ PECOS231 mi
Psychiatry
NPI 1700293834
1801 ROCKLAND RD STE 302
Wilmington, DE 19803
(302) 651-4200
✔ PECOS✔ Accepts Medicare370 mi
Pediatric Medicine
NPI 1023085156
10807 FALLS RD SUITE 200
Lutherville, MD 21093
(410) 321-9393
✔ PECOS422 mi
Pediatric Medicine
NPI 1265513683
1802 BRAEBURN DR
Salem, VA 24153
(540) 772-3580
✔ PECOS649 mi
Clinical Social Worker
NPI 1144497637
1600 PROVIDENCE DR
Waco, TX 76707
(254) 313-4200
✔ PECOS✔ Accepts Medicare1,624 mi
Nurse Practitioner
NPI 1477936961
175 N 1ST ST
Lander, WY 82520
(307) 332-2189
✔ PECOS1,829 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 47D0091973

Nvrh St Johnsbury Pediatrics · Saint Johnsbury, VT
Active · expires Jan 31, 2028
CLIA Number47D0091973
Laboratory TypeRural Health Clinic
Certificate Effective DateFebruary 1, 2026
Certificate Expiration DateJanuary 31, 2028
Laboratory DirectorJoshua D. Kantrowitz
Laboratory Phone(802) 748-5131
Laboratory LocationNvrh St Johnsbury Pediatrics97 Sherman Dr, Saint Johnsbury, VT 05819
CLIA data matches this NPI record on: 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 Northeastern Vermont Regional Hospital, Inc's NPI number?

The NPI number for Northeastern Vermont Regional Hospital, Inc is 1487732301. It was assigned to this organization in the NPPES registry on November 1, 2006. The provider is doing business as Nvrh St. Johnsbury Pediatrics.

Where is Northeastern Vermont Regional Hospital, Inc located?

Northeastern Vermont Regional Hospital, Inc is located at 97 Sherman Drive, St Johnsbury, VT 05819. The listed phone number is (802) 748-5131.

What is Northeastern Vermont Regional Hospital, Inc's specialty?

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

Is Northeastern Vermont Regional Hospital, Inc enrolled in Medicare?

Yes. Northeastern Vermont Regional Hospital, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Northeastern Vermont Regional Hospital, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 15 clinicians in 4 Medicare specialties reassign their Medicare billing to Northeastern Vermont Regional Hospital, Inc. 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. The largest specialties are Pediatric Medicine (8), Nurse Practitioner (4) and Clinical Social Worker (2). Of these, 4 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Northeastern Vermont Regional Hospital, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 47D0091973) is associated with this NPI, valid through January 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Northeastern Vermont Regional Hospital, Inc accept?

Health plans from Ambetter from NH Healthy Families and Anthem Blue Cross and Blue Shield list Northeastern Vermont Regional Hospital, Inc 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 Northeastern Vermont Regional Hospital, Inc was last updated on February 11, 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.