JACKIE M ROY NP
NPI 1679595797
Nurse Practitioner in Springfield, VT

Active since July 25, 2006PECOS EnrolledAccepts Medicare Assignment
156 WALL ST, SPRINGFIELD, VT 05156(802) 885-1166 Get Directions Write a Review

NPPES record last updated: September 27, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jackie M Roy Np NPPES

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

JACKIE M ROY NP (NPI 1679595797) is an individual nurse practitioner in Springfield, Vermont, licensed in Vermont (101-0022863) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Mary Hitchcock Memorial Hospital, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1679595797
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJACKIE M ROYCredential: NP
Location Address156 WALL STSpringfield, VT 05156-3528
Mailing AddressPo Box 710, Springfield Medical Care SystemsSpringfield, VT 05156-0710 · (802) 885-1166
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJuly 25, 2006
Last NPPES UpdateSeptember 27, 2011
NPI 1679595797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in VT · 101-0022863
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
156 WALL ST, Springfield, VT 05156

Other Names 1

Former Name (1)Jackie Minear Aprn

Other Identifiers 4

Medicaid1009172VT
Medicaid30342320NH
Medicare PINNP3910VT
Medicare UPINP67649VT

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

Jackie M Roy Np 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 ID6507899796
PECOS Enrollment IDI20050917000232
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 2

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.

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.
60 services35 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
17 services15 patients

Hospital Affiliations CMS Care Compare 4

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

Mary Hitchcock Memorial Hospital

Acute Care Hospitals · Lebanon, NH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300003
Location1 Medical Center DriveLebanon, NH 03756 · Grafton County
Emergency services Birthing friendly

Valley Regional Hospital

Critical Access Hospitals · Claremont, NH
OwnershipVoluntary non-profit - Private
CMS Certification Number301308
Location243 Elm StreetClaremont, NH 03743 · Sullivan County
Emergency services

Mt Ascutney Hospital

Critical Access Hospitals · Windsor, VT
OwnershipVoluntary non-profit - Private
CMS Certification Number471302
Location289 County RoadWindsor, VT 05089 · Windsor County
Emergency services

Springfield Hospital

Critical Access Hospitals · Springfield, VT
OwnershipVoluntary non-profit - Private
CMS Certification Number471306
LocationPO Box 2003Springfield, VT 05156 · Windsor County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05156 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.

Referred Medical Equipment & Supplies CMS DME claims 10

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
5 suppliers21 claims51 services$5.62 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
3 suppliers12 claims18 services$0.96 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier16 claims17 services$18.72 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers21 claims21 services$8.42 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers35 claims35 services$105.79 avg. paid by Medicare
Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms J7606
DME-Drugs Administered Through DME · category DG006N
1 supplier13 claims780 services$6.32 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 7

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

Counselor (Mental Health)
156 WALL ST
SPRINGFIELD, VT 05156
Counselor (Mental Health)
156 WALL ST
SPRINGFIELD, VT 05156
Nurse Practitioner
156 WALL ST
SPRINGFIELD, VT 05156
Clinic/Center (Federally Qualified Health Center (FQHC))
156 WALL ST
SPRINGFIELD, VT 05156
Nurse Practitioner
156 WALL ST
SPRINGFIELD, VT 05156
Counselor (Mental Health)
156 WALL ST
SPRINGFIELD, VT 05156
Family Medicine
156 WALL ST
SPRINGFIELD, VT 05156

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 Jackie Roy's NPI number?

The NPI number for Jackie Roy is 1679595797. It was assigned to this individual provider in the NPPES registry on July 25, 2006. The provider is also known as Jackie Minear Aprn.

Where is Jackie Roy located?

Jackie Roy practices at 156 Wall St, Springfield, VT 05156. The listed phone number is (802) 885-1166.

What is Jackie Roy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Jackie Roy enrolled in Medicare?

Yes. Jackie Roy 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 Jackie Roy accept?

Health plans from Anthem Blue Cross and Blue Shield list Jackie Roy 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 Jackie Roy affiliated with any hospitals?

According to CMS data, Jackie Roy is affiliated with Mary Hitchcock Memorial Hospital, Valley Regional Hospital, Mt Ascutney Hospital and Springfield Hospital.

When was this NPI record last updated?

The NPPES record for Jackie Roy was last updated on September 27, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.