CHERYL A HOLTON N.P.
NPI 1609897743
Nurse Practitioner - Family in Morrisville, VT

Active since July 22, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
109 PROFESSIONAL DR, MORRISVILLE, VT 05661(802) 851-0999 Get Directions Write a Review

NPPES record last updated: January 29, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 29, 2020, Mar 21, 2018 (2 updates tracked since 2018).

About Cheryl A Holton N.p. NPPES

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

CHERYL A HOLTON N.P. (NPI 1609897743) is an individual family provider in Morrisville, Vermont, licensed in Vermont (101-0011324) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Central Vermont Medical Center, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1609897743
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCHERYL A HOLTONCredential: N.P.
Location Address109 PROFESSIONAL DRMorrisville, VT 05661-9301
Mailing Address109 Professional DrMorrisville, VT 05661-9301 · (802) 851-0999
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateJuly 22, 2006
Last NPPES UpdateJanuary 29, 20202 updates tracked since enumeration
NPI 1609897743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in VT · 101-0011324
Also ListedRegistered Nurse · Diabetes EducatorTaxonomy 163WD0400X · License 101-0011324 (VT)
109 PROFESSIONAL DR, Morrisville, VT 05661

Other Identifiers 6

Medicaid0NP0316VT
Other11V105VT · Mvp
Other500002168VT · Travelers Medicare
Other762143VT · Cigna
Other00028052VT · Blue Shield
Other4647901VT · Vermont Managed Care

Accepted 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

Cheryl A Holton N.p. 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 ID5395780514
PECOS Enrollment IDI20050628000146
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 6

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
255 services185 patients
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.
116 services75 patients
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.
32 services17 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
26 services25 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
Inhalation treatment for airway obstruction or sputum production 94640
Inhalation treatment, also known as nebulizer therapy, helps clear airway obstructions and reduce sputum production. It involves breathing in medication through a device, turning it into a mist. This can open up the airways, making breathing easier and helping to cough out mucus.
14 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Central Vermont Medical Center

Acute Care Hospitals · Barre, VT
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number470001
LocationBox 547Barre, VT 05641 · Washington County
Emergency services Birthing friendly

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

Copley Hospital

Critical Access Hospitals · Morrisville, VT
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number471305
Location528 Washington HighwayMorrisville, VT 05661 · Lamoille County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05661 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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.93
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
2 suppliers11 claims22 services$6.55 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier42 claims42 services$184.62 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
109 PROFESSIONAL DR
MORRISVILLE, VT 05661
Physical Therapist (Orthopedic)
109 PROFESSIONAL DR
MORRISVILLE, VT 05661
Family Medicine
109 PROFESSIONAL DR
MORRISVILLE, VT 05661
Family Medicine
109 PROFESSIONAL DR
MORRISVILLE, VT 05661
Clinic/Center
109 PROFESSIONAL DR
MORRISVILLE, VT 05661
Family Medicine
109 PROFESSIONAL DR
MORRISVILLE, VT 05661

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 Cheryl Holton's NPI number?

The NPI number for Cheryl Holton is 1609897743. It was assigned to this individual provider in the NPPES registry on July 22, 2006.

Where is Cheryl Holton located?

Cheryl Holton practices at 109 Professional Dr, Morrisville, VT 05661. The listed phone number is (802) 851-0999.

What is Cheryl Holton's specialty?

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

Is Cheryl Holton enrolled in Medicare?

Yes. Cheryl Holton 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 Cheryl Holton accept?

Health plans from Anthem Blue Cross and Blue Shield list Cheryl Holton 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 Cheryl Holton affiliated with any hospitals?

According to CMS data, Cheryl Holton is affiliated with Central Vermont Medical Center, Univ. Of Vermont - Fletcher Allen Health Care and Copley Hospital.

When was this NPI record last updated?

The NPPES record for Cheryl Holton was last updated on January 29, 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.