SPENCER PROULX CAA
NPI 1518801968
Anesthesiologist Assistant in Bennington, VT

Active since April 16, 2026Accepts Medicare Assignment
100 HOSPITAL DR, BENNINGTON, VT 05201(802) 442-6361 Get Directions Write a Review

NPPES record last updated: April 16, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Spencer Proulx Caa NPPES

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

SPENCER PROULX CAA (NPI 1518801968) is an individual anesthesiologist assistant in Bennington, Vermont and active in the NPI registry since April 2026. He is affiliated with Southwestern Vermont Medical Center and is a graduate of Other (2026).

NPPES Registry Identity

NPI1518801968
Entity TypeIndividualMale
Primary Taxonomy367H00000X
Provider Legal NameSPENCER PROULXCredential: CAA
Location Address100 HOSPITAL DRBennington, VT 05201-5004
Mailing Address404 Mcchesney Ave Ext Apt 26-07Troy, NY 12180-8887
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateApril 16, 2026
NPPES CertifiedApril 16, 2026
✔ NPI 1518801968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367H00000X
Definition
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
100 HOSPITAL DR, Bennington, VT 05201

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Spencer Proulx Caa 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 ID5496211211
PECOS Enrollment IDI20260731000311

Medicare Billing Reassignment

Medicare enrollment records show Spencer Proulx reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

General Acute Care Hospital
100 HOSPITAL DR
Bennington, VT 05201
  • Reassigned Medicare billing, Vermont enrollment
  • 143 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare

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

Southwestern Vermont Medical Center

Acute Care Hospitals · Bennington, VT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number470012
Location100 Hospital DriveBennington, VT 05201 · Bennington 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.

Emergency Medicine
100 HOSPITAL DR
BENNINGTON, VT 05201
Surgery
100 HOSPITAL DR
BENNINGTON, VT 05201
Rehabilitation Counselor
100 HOSPITAL DR
BENNINGTON, VT 05201
Registered Nurse (Lactation Consultant)
100 HOSPITAL DR
BENNINGTON, VT 05201
Emergency Medicine
100 HOSPITAL DR
BENNINGTON, VT 05201
Emergency Medicine
100 HOSPITAL DR
BENNINGTON, VT 05201
Nurse Practitioner (Family)
100 HOSPITAL DR
BENNINGTON, VT 05201
Anesthesiologist Assistant
100 HOSPITAL DR
BENNINGTON, VT 05201

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 Spencer Proulx's NPI number?

The NPI number for Spencer Proulx is 1518801968. It was assigned to this individual provider in the NPPES registry on April 16, 2026.

Where is Spencer Proulx located?

Spencer Proulx practices at 100 Hospital Dr, Bennington, VT 05201. The listed phone number is (802) 442-6361.

What is Spencer Proulx's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Is Spencer Proulx enrolled in Medicare?

Yes. Spencer Proulx 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.

Which organization bills Medicare for Spencer Proulx's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Spencer Proulx reassigns Medicare benefits to Southwestern Vermont Medical Center Inc. (Bennington, VT). The 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 Spencer Proulx's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Spencer Proulx affiliated with any hospitals?

According to CMS data, Spencer Proulx is affiliated with Southwestern Vermont Medical Center.

When was this NPI record last updated?

The NPPES record for Spencer Proulx was last updated on April 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.