NOAH F. WOLLENBURG PA-C
NPI 1811446065
Physician Assistant - Medical in Burlington, VT

Q: What is Noah Wollenburg's NPI number?

The NPI number for Noah Wollenburg is 1811446065. It was assigned to this individual provider in the NPPES registry on September 29, 2016.

Q: What is Noah Wollenburg's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Noah Wollenburg was last updated on March 2, 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 September 29, 2016PECOS EnrolledAccepts Medicare Assignment

111 COLCHESTER AVE, BURLINGTON, VT 05401(802) 847-0000 Get Directions Write a Review

NPPES record last updated: March 2, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Mar 2, 2023, Jan 19, 2021, Jul 20, 2018 and 2 more (5 updates tracked since 2016).

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About Noah F. Wollenburg Pa-c NPPES

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

NOAH F. WOLLENBURG PA-C (NPI 1811446065) is an individual medical provider in Burlington, Vermont, licensed in Vermont (055.0031381) and active in the NPI registry since September 2016. He is enrolled in Medicare PECOS, is affiliated with Univ. Of Vermont - Fletcher Allen Health Care, and maintains a secondary practice location in Rutland.

NPPES Registry Identity

NPI1811446065

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameNOAH F. WOLLENBURGCredential: PA-C

Location Address111 COLCHESTER AVEBurlington, VT 05401-1473

Mailing Address111 Colchester AveBurlington, VT 05401-1473 · (802) 847-0000

Phone(802) 847-0000

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateSeptember 29, 2016

Last NPPES UpdateMarch 2, 20235 updates tracked since enumeration

NPPES CertifiedMarch 2, 2023

✔ NPI 1811446065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in VT · 055.0031381

Also ListedPhysician AssistantTaxonomy 363A00000X · License 3837-023 (WI)

111 COLCHESTER AVE, Burlington, VT 05401

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Secondary Practice Location 1

Location 110 Commons StRutland, VT 05701 · Phone (802) 747-3359 · Fax (802) 786-5204

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

Noah F. Wollenburg Pa-c 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 ID4981982923

PECOS Enrollment IDI20181018001076

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 5

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.

238 services157 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.

127 services105 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.

18 services18 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

13 services12 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

13 services13 patients

Hospital Affiliations CMS Care Compare

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

Referred Medical Equipment & Supplies CMS DME claims

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 claims57 services$6.25 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 20

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

ELENA KOZAKEWICH

Internal Medicine (Pulmonary Disease)

111 COLCHESTER AVE, UVM MEDICAL CENTER, DEPT OF INTERNAL MEDICINE, 222WP2
BURLINGTON, VT 05401

Chittenden County (802) 847-2700

RICHARD BOHLING CAROZZA MD

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)