NVRH KINGDOM INTERNAL MEDICINE
NPI 1871870899
Clinic/Center - Rural Health in St Johnsbury, VT

Active since November 04, 2011CLIA 47D2035054 · Waiver
714 BREEZY HILL ROAD, ST JOHNSBURY, VT 05819(805) 748-7500(802) 745-1188 Get Directions Write a Review

NPPES record last updated: February 11, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Nvrh Kingdom Internal Medicine NPPES

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

NVRH KINGDOM INTERNAL MEDICINE (NPI 1871870899) is a healthcare organization registered as a rural health in St Johnsbury, Vermont and active in the NPI registry since November 2011. The organization holds a CLIA Waiver certificate valid through January 9, 2028 and lists Robert N Hersey, Cfo, as its authorized official.

NPPES Registry Identity

NPI1871870899
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameNORTHEASTERN VERMONT REGIONAL HOSPITAL INC
Location Address714 BREEZY HILL ROADSt Johnsbury, VT 05819-0905
Mailing AddressPo Box 905St Johnsbury, VT 05819-0905 · (802) 748-8141 · Fax (802) 748-4098
Fax(802) 745-1188
Organization SubpartNo
Authorized OfficialRobert N HerseyCfo · (802) 748-7520
Enumeration DateNovember 4, 2011
Last NPPES UpdateFebruary 11, 2020
✔ NPI 1871870899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
License✔ Licensed in VT · 785
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
714 BREEZY HILL ROAD, St Johnsbury, VT 05819

Other Names 1

Doing Business AsNvrh Kingdom Internal Medicine

Other Identifiers 3

Medicaid0473991VT
Medicaid3076793NH
Medicaid1020004VT

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nvrh Kingdom Internal Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Nvrh Kingdom Internal Medicine, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Family Practice4
Nurse Practitioner4
Clinical Social Worker1
Internal Medicine1

Clinicians, nearest first (10)

Family Practice
NPI 1528262722
714 BREEZY HILL RD
St Johnsbury, VT 05819
(802) 748-7500
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1154397206
714 BREEZY HILL RD NVRH KINGDOM INTERNAL MEDICINE
St Johnsbury, VT 05819
(802) 748-7500
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1295629970
1315 HOSPITAL DR
St Johnsbury, VT 05819
(802) 748-8141
✔ PECOS✔ Accepts Medicare0.3 mi
Family Practice
NPI 1083646681
195 INDUSTRIAL PKWY NVRH CORNER MEDICAL
Lyndon, VT 05849
(802) 748-9501
✔ PECOS✔ Accepts Medicare4.3 mi
Clinical Social Worker
NPI 1578739140
195 INDUSTRIAL PKWY STE 1
Lyndonville, VT 05851
(802) 748-9501
✔ PECOS✔ Accepts Medicare4.3 mi
Nurse Practitioner
NPI 1477958254
82 MAPLE STREET
Island Pond, VT 05846
(802) 723-4300
✔ PECOS✔ Accepts Medicare26 mi
Nurse Practitioner
NPI 1336469337
142 WOODRIDGE DRIVE
Berlin, VT 05602
(802) 371-4700
✔ PECOS✔ Accepts Medicare32 mi
Family Practice
NPI 1962437418
215 STRATTON RD
Rutland, VT 05701
(802) 773-3386
✔ PECOS✔ Accepts Medicare75 mi
Internal Medicine
NPI 1417250614
100 RIVER ST SPRINGFIELD MEDICAL CARE SYSTEMS
Springfield, VT 05156
(802) 463-9000
✔ PECOS✔ Accepts Medicare82 mi
Family Practice
NPI 1881705762
7065 CALLE PONCE DE LEON
Navarre, FL 32566
(850) 936-1695
✔ PECOS✔ Accepts Medicare1,263 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 47D2035054

Nvrh Kingdom Internal Medicine · Saint Johnsbury, VT
Active · expires Jan 9, 2028
CLIA Number47D2035054
Laboratory TypeRural Health Clinic
Certificate Effective DateJanuary 10, 2026
Certificate Expiration DateJanuary 9, 2028
Laboratory DirectorDr. Thomas Myrter
Laboratory Phone(802) 748-7500
Laboratory LocationNvrh Kingdom Internal Medicine714 Breezy Hill Rd, Saint Johnsbury, VT 05819
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Northeastern Vermont Regional Hospital Inc's NPI number?

The NPI number for Northeastern Vermont Regional Hospital Inc is 1871870899. It was assigned to this organization in the NPPES registry on November 4, 2011. The provider is doing business as Nvrh Kingdom Internal Medicine.

Where is Northeastern Vermont Regional Hospital Inc located?

Northeastern Vermont Regional Hospital Inc is located at 714 Breezy Hill Road, St Johnsbury, VT 05819. The listed phone number is (805) 748-7500.

What is Northeastern Vermont Regional Hospital Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Is Northeastern Vermont Regional Hospital Inc enrolled in Medicare?

Yes. Northeastern Vermont Regional Hospital Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Northeastern Vermont Regional Hospital Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 4 Medicare specialties reassign their Medicare billing to Northeastern Vermont Regional Hospital Inc. A 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 the clinician's services. The largest specialties are Family Practice (4), Nurse Practitioner (4) and Clinical Social Worker (1). Of these, 2 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Northeastern Vermont Regional Hospital Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 47D2035054) is associated with this NPI, valid through January 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Northeastern Vermont Regional Hospital Inc accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Shield, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Northeastern Vermont Regional Hospital Inc 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.

When was this NPI record last updated?

The NPPES record for Northeastern Vermont Regional Hospital Inc was last updated on February 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.