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MAD RIVER HEALTH PLLC
NPI 1821973280
Family Medicine in Waitsfield, VT

Active since August 06, 2025CLIA 47D2327256 · Waiver
859 OLD COUNTY RD, WAITSFIELD, VT 05673(802) 496-6565 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mad River Health Pllc NPPES

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

MAD RIVER HEALTH PLLC (NPI 1821973280) is a healthcare organization registered as a family medicine in Waitsfield, Vermont and active in the NPI registry since August 2025. The organization holds a CLIA Waiver certificate valid through July 20, 2027 and lists John A Wilson, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1821973280
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMAD RIVER HEALTH PLLC
Location Address859 OLD COUNTY RDWaitsfield, VT 05673-6221
Mailing Address859 Old County RdWaitsfield, VT 05673-6221 · (802) 496-6565
Phone(802) 496-6565
Organization SubpartNo
Authorized OfficialJohn A WilsonPhysician/owner · (802) 595-1430
Enumeration DateAugust 6, 2025
NPPES CertifiedAugust 6, 2025
✔ NPI 1821973280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
859 OLD COUNTY RD, Waitsfield, VT 05673
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 47D2327256

Mad River Health, PLLC · Waitsfield, VT
Active · expires Jul 20, 2027
CLIA Number47D2327256
Laboratory TypePhysician Office
Certificate Effective DateJuly 21, 2025
Certificate Expiration DateJuly 20, 2027
Laboratory DirectorJohn A. Wilson
Laboratory Phone(802) 595-1430
Laboratory LocationMad River Health, PLLC859 Old County Rd, Waitsfield, VT 05673
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 14

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

JOHN A WILSON MD
Family Medicine
859 OLD COUNTY RD
WAITSFIELD, VT 05673
Washington County (802) 496-6565
MS. SUSANNE B HEINZERLING FNP
Nurse Practitioner (Family)
859 OLD COUNTY RD
WAITSFIELD, VT 05673
Washington County (802) 496-3838
SARAH LYNN KAPLAN MSOM, L.AC.,DIPL. OM
Acupuncturist
859 OLD COUNTY RD, SUITE E
WAITSFIELD, VT 05673
Washington County (802) 496-6600
MARGO C ARNEBERG LMSW
Social Worker
859 OLD COUNTY RD
WAITSFIELD, VT 05673
Washington County (802) 496-9715
MS. DEBORAH VANDYKE NP
Nurse Practitioner (Family)
859 OLD COUNTY RD
WAITSFIELD, VT 05673
Washington County (802) 496-3838
AKHIL KAPLAN MSOM, L.AC., DIPL.OM
Acupuncturist
859 OLD COUNTY RD, SUITE Z
WAITSFIELD, VT 05673
Washington County (802) 496-6600
JENNIFER SELLAND MD
Family Medicine
859 OLD COUNTY RD
WAITSFIELD, VT 05673
Washington County (802) 225-3938
NANETTE M WESSEL KISSENBERTH DO
Family Medicine
859 OLD COUNTY RD
WAITSFIELD, VT 05673
Washington County (802) 496-3838

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 Mad River Health PLLC's NPI number?

The NPI number for Mad River Health PLLC is 1821973280. It was assigned to this organization in the NPPES registry on August 6, 2025.

Where is Mad River Health PLLC located?

Mad River Health PLLC is located at 859 Old County Rd, Waitsfield, VT 05673. The listed phone number is (802) 496-6565.

What is Mad River Health PLLC's specialty?

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

Does Mad River Health PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 47D2327256) is associated with this NPI, valid through July 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mad River Health PLLC was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.