RIVER'S EDGE INTEGRATIVE MEDICINE PLLC
NPI 1639873839
Clinic/Center - Multi-Specialty in Warren, VT

Active since March 30, 2023

NPPES record last updated: March 30, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About River's Edge Integrative Medicine Pllc NPPES

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

RIVER'S EDGE INTEGRATIVE MEDICINE PLLC (NPI 1639873839) is a healthcare organization registered as a multi-specialty in Warren, Vermont and active in the NPI registry since March 2023. The organization lists Carlene Vasquez-brown, Owner/member, as its authorized official.

NPPES Registry Identity

NPI1639873839
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameRIVER'S EDGE INTEGRATIVE MEDICINE PLLC
Location Address4374 RT 100Warren, VT 05674-0567
Mailing Address4372 Vermont Route 100Warren, VT 05674-9728 · (603) 783-6714 · Fax (949) 437-3084
Organization SubpartNo
Authorized OfficialCarlene Vasquez-brownOwner/member · (802) 744-7284
Enumeration DateMarch 30, 2023
NPPES CertifiedMarch 27, 2023
✔ NPI 1639873839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
4374 RT 100, Warren, VT 05674

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)

River's Edge Integrative Medicine Pllc 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 River's Edge Integrative Medicine PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1508199027
4372 VT ROUTE 100
Warren, VT 05674
(802) 744-7284
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1558372417
1 MEDICAL CENTER DR
Lebanon, NH 03756
(603) 650-7254
✔ PECOS✔ Accepts Medicare41 mi

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

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 River's Edge Integrative Medicine PLLC's NPI number?

The NPI number for River's Edge Integrative Medicine PLLC is 1639873839. It was assigned to this organization in the NPPES registry on March 30, 2023.

Where is River's Edge Integrative Medicine PLLC located?

River's Edge Integrative Medicine PLLC is located at 4374 Rt 100, Warren, VT 05674. The listed phone number is (802) 744-7284.

What is River's Edge Integrative Medicine PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is River's Edge Integrative Medicine PLLC enrolled in Medicare?

Yes. River's Edge Integrative Medicine PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through River's Edge Integrative Medicine PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to River's Edge Integrative Medicine PLLC, in Emergency Medicine and Nurse Practitioner. 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 at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does River's Edge Integrative Medicine PLLC accept?

Health plans from Anthem Blue Cross and Blue Shield list River's Edge Integrative Medicine PLLC 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 River's Edge Integrative Medicine PLLC was last updated on March 30, 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.