JENNIFER MARY FAUNTLEROY M.D.
NPI 1669448981
Psychiatry & Neurology - Psychiatry in Rutland, VT

Active since February 27, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 47D1096900 · Waiver
11 COURT SQ, RUTLAND, VT 05701(802) 775-1398(802) 775-5196 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jennifer Mary Fauntleroy M.d. NPPES

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

JENNIFER MARY FAUNTLEROY M.D. (NPI 1669448981) is an individual psychiatry provider in Rutland, Vermont, licensed in Vermont (042-0009568) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through March 12, 2027, and is a graduate of New York University School Of Medicine (1978).

NPPES Registry Identity

NPI1669448981
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameJENNIFER MARY FAUNTLEROYCredential: M.D.
Location Address11 COURT SQRutland, VT 05701-4030
Mailing Address11 Court SqRutland, VT 05701-4030 · (802) 775-1398 · Fax (802) 775-5196
Fax(802) 775-5196
Sole ProprietorYes
Medical School CMSNew York University School Of MedicineGraduated 1978
Enumeration DateFebruary 27, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1669448981 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in VT · 042-0009568
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
11 COURT SQ, Rutland, VT 05701

Other Identifiers 3

Medicare UPINA58212VT
Medicare ID-Type UnspecifiedVN1669VT
MedicaidOVN1669VT

Accepted Insurance

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

Jennifer Mary Fauntleroy M.d. 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 ID9234028705
PECOS Enrollment IDI20051219000037
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jennifer Fauntleroy reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatry
11 COURT SQ
Rutland, VT 05701
  • Reassigned Medicare billing, Vermont enrollment
Psychiatric Unit
160 ALLEN ST
Rutland, VT 05701
  • Reassigned Medicare billing, Vermont enrollment
  • 28 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.

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 47D1096900

Jennifer Fauntleroy MD · Rutland, VT
Active · expires Mar 12, 2027
CLIA Number47D1096900
Laboratory TypePractitioner Other
Certificate Effective DateMarch 13, 2025
Certificate Expiration DateMarch 12, 2027
Laboratory DirectorJennifer Fauntleroy MD
Laboratory Phone(802) 775-1398
Laboratory LocationJennifer Fauntleroy MD11 Court Square, Rutland, VT 05701
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

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.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
330 services18 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.
72 services19 patients
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.
68 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05701 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
$168.48 typical visit price
range $55.80 – $168.48
Typical copayment $42.12 (range $13.95 – $42.12)
Most-billed visit code 99205
Established Patient
$69.56 typical visit price
range $18.08 – $137.84
Typical copayment $17.39 (range $4.52 – $34.46)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

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

Counselor (Mental Health)
11 COURT SQ
RUTLAND, VT 05701
Counselor (Mental Health)
11 COURT SQ
RUTLAND, VT 05701
Psychologist (Counseling)
11 COURT SQ
RUTLAND, VT 05701
Counselor (Mental Health)
11 COURT SQ
RUTLAND, VT 05701
Counselor (Mental Health)
11 COURT SQ
RUTLAND, VT 05701
Counselor (Mental Health)
11 COURT SQ
RUTLAND, VT 05701
Psychologist
11 COURT SQ
RUTLAND, VT 05701
Social Worker (Clinical)
11 COURT SQ
RUTLAND, VT 05701

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 Jennifer Fauntleroy's NPI number?

The NPI number for Jennifer Fauntleroy is 1669448981. It was assigned to this individual provider in the NPPES registry on February 27, 2006.

Where is Jennifer Fauntleroy located?

Jennifer Fauntleroy practices at 11 Court Sq, Rutland, VT 05701. The listed phone number is (802) 775-1398.

What is Jennifer Fauntleroy's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Jennifer Fauntleroy enrolled in Medicare?

Yes. Jennifer Fauntleroy 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 organizations bill Medicare for Jennifer Fauntleroy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Fauntleroy reassigns Medicare benefits to 2 organizations: Jennifer Fauntleroy, M.D., P.C. (Rutland, VT) and Rutland Hospital, Inc. (Rutland, VT). Each 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 Jennifer Fauntleroy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Does Jennifer Fauntleroy hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 47D1096900) is associated with this NPI, valid through March 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Jennifer Fauntleroy accept?

Health plans from Anthem Blue Cross and Blue Shield list Jennifer Fauntleroy 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 Jennifer Fauntleroy was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.