TERRI THOMAS NIELSEN MD
NPI 1700841699
Family Medicine in Saint Albans, VT

Q: What is Terri Nielsen's NPI number?

The NPI number for Terri Nielsen is 1700841699. It was assigned to this individual provider in the NPPES registry on April 20, 2006.

Q: What is Terri Nielsen's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Terri Nielsen was last updated on June 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.

Active since April 20, 2006PECOS EnrolledAccepts Medicare Assignment

9 CREST RD, SAINT ALBANS, VT 05478(802) 527-0753(802) 524-2695 Get Directions Write a Review

NPPES record last updated: June 30, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 22, 2021, Mar 21, 2019 (2 updates tracked since 2019).

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About Terri Thomas Nielsen Md NPPES

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

TERRI THOMAS NIELSEN MD (NPI 1700841699) is an individual family medicine provider in Saint Albans, Vermont, licensed in Vermont (042-0010564) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, is affiliated with Univ. Of Vermont - Fletcher Allen Health Care, and is a graduate of State University Of New York At Buffalo School Of Medicine (1996).

NPPES Registry Identity

NPI1700841699

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameTERRI THOMAS NIELSENCredential: MD

Location Address9 CREST RDSaint Albans, VT 05478-9701

Mailing Address600 Blair Park Rd Ste 285Williston, VT 05495-7586 · (802) 288-1140 · Fax (802) 288-1144

Phone(802) 527-0753

Fax(802) 524-2695

Sole ProprietorNo

Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 1996

Enumeration DateApril 20, 2006

Last NPPES UpdateJune 30, 20232 updates tracked since enumeration

NPPES CertifiedJune 30, 2023

✔ NPI 1700841699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in VT · 042-0010564

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

9 CREST RD, Saint Albans, VT 05478

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Other Identifiers 2

Medicaid1009698VT

OtherVN318101VT · Medicare Id Type Unspecified

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Terri Thomas Nielsen Md 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 ID8022171677

PECOS Enrollment IDI20090108000546

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 16

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 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.

370 services163 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

307 services179 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.

149 services149 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.

119 services84 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

86 services62 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

85 services85 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

84 services84 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

74 services74 patients

Telephone medical discussion with physician, 21-30 minutes 99443

This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.

39 services25 patients

Smoking and tobacco use intensive counseling, 4-10 minutes 99406

This service provides brief, intensive counseling (4-10 minutes) to support you in quitting smoking or tobacco use. It involves discussing the risks of tobacco use, benefits of quitting, and strategies to help you stop. It's a critical step towards a healthier lifestyle.

38 services13 patients

Assessment of emotional or behavioral problems 96127

Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.

37 services30 patients

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438

An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.

27 services27 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.

21 services16 patients

Transitional care management services for problem of high complexity 99496

Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.

18 services16 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

13 services12 patients

Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402

An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

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

Northwestern Medical Center Inc

Acute Care Hospitals · Saint Albans, VT

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number470024

Location133 Fairfield StreetSaint Albans, VT 05478 · Franklin County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05478 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 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

5 suppliers16 claims33 services$4.79 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

4 suppliers12 claims64 services$2.37 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 11

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

KATHERINE REED

Nurse Practitioner (Family)

9 CREST RD
SAINT ALBANS, VT 05478

Franklin County (802) 527-0753

STEWART P MANCHESTER MD

Family Medicine

9 CREST RD
ST ALBANS, VT 05478

Franklin County (802) 527-0753

JEFFREY BARTON FINE PA-C

Physician Assistant

9 CREST RD
SAINT ALBANS, VT 05478

Franklin County (802) 527-0753

SARAH OWEN FNP

Nurse Practitioner (Family)

9 CREST RD
SAINT ALBANS, VT 05478

Franklin County (802) 527-0753

MRS. SUSAN DENISE WILLIAMS NURSE PRACTITIONER

Nurse Practitioner (Family)

9 CREST RD
SAINT ALBANS, VT 05478

Franklin County (802) 527-0753

TOBY R SADKIN MD

Family Medicine

9 CREST RD
ST ALBANS, VT 05478

Franklin County (802) 527-0753

MR. DAVID JAMES MANCHESTER NP-C

Nurse Practitioner (Family)

9 CREST RD
SAINT ALBANS, VT 05478

Franklin County (802) 527-0753

PRIMARY CARE HEALTH PARTNERS

Family Medicine

9 CREST RD
ST ALBANS, VT 05478

Franklin County (802) 527-0753

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 Terri Nielsen's NPI number?

The NPI number for Terri Nielsen is 1700841699. It was assigned to this individual provider in the NPPES registry on April 20, 2006.

Where is Terri Nielsen located?

Terri Nielsen practices at 9 Crest Rd, Saint Albans, VT 05478. The listed phone number is (802) 527-0753.

What is Terri Nielsen's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Terri Nielsen enrolled in Medicare?

Yes. Terri Nielsen 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 Terri Nielsen accept?

Health plans from Anthem Blue Cross and Blue Shield list Terri Nielsen 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 Terri Nielsen affiliated with any hospitals?

According to CMS data, Terri Nielsen is affiliated with Univ. Of Vermont - Fletcher Allen Health Care and Northwestern Medical Center Inc.

When was this NPI record last updated?

The NPPES record for Terri Nielsen was last updated on June 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.