JACKIE M ROY NP
NPI 1679595797
Nurse Practitioner in Springfield, VT
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
Specialties & Licenses
Other Names 1
Other Identifiers 4
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Jackie Roy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Springfield, VT 05156
- Reassigned Medicare billing, Vermont enrollment
- 72 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.
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mary Hitchcock Memorial Hospital
Acute Care Hospitals · Lebanon, NHMt Ascutney Hospital
Critical Access Hospitals · Windsor, VTSpringfield Hospital
Critical Access Hospitals · Springfield, VTPhysician 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.
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.
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.
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.
Which organization bills Medicare for Jackie Roy's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jackie Roy reassigns Medicare benefits to Springfield Medical Care Systems Inc. (Springfield, 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 Jackie Roy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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, 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 15 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.
# Jackie M Roy, NP · NPI 1679595797
Nurse Practitioner physician in Springfield, Vermont. Individual provider, active in the CMS NPPES registry since July 25, 2006.
## Identity
- **NPI:** 1679595797 (Entity type: Individual)
- **Enumerated:** July 25, 2006
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 101-0022863 (Vermont)
- **Sole proprietor:** No
## Practice location
- **Address:** 156 WALL ST, Springfield, VT 05156-3528
- **Phone:** (802) 885-1166
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Springfield Medical Care Systems Inc. (NPI 1730336843, Springfield, VT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2002
## Record status
- **NPPES last updated:** September 27, 2011
- **Other identifiers:** Medicaid 1009172 (VT); Medicaid 30342320 (NH); Medicare PIN NP3910 (VT); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1679595797) · Data from the CMS NPPES public registry.