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MS. MONICA MARIE PLOOF MSN, CPNP
NPI 1902082977
Nurse Practitioner - Pediatrics in Burlington, VT

Active since January 21, 2008PECOS Enrolled
111 COLCHESTER AVE, SMITH 568, BURLINGTON, VT 05401(802) 847-2850(802) 847-5557 Get Directions Write a Review

NPPES record last updated: January 21, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ms. Monica Marie Ploof Msn, Cpnp NPPES

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

MS. MONICA MARIE PLOOF MSN, CPNP (NPI 1902082977) is an individual pediatrics provider in Burlington, Vermont, licensed in Vermont (101-0019272) and active in the NPI registry since January 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902082977
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMS. MONICA MARIE PLOOFCredential: MSN, CPNP
Location Address111 COLCHESTER AVE, SMITH 568Burlington, VT 05401-1473
Mailing Address111 Colchester Ave, Smith 568Burlington, VT 05401-1473 · (802) 847-2850 · Fax (802) 847-5557
Phone(802) 847-2850
Fax(802) 847-5557
Sole ProprietorYes
Enumeration DateJanuary 21, 2008
✔ NPI 1902082977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in VT · 101-0019272
111 COLCHESTER AVE, Burlington, VT 05401
Open in Google Maps ↗

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Monica Marie Ploof Msn, Cpnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Monica Ploof reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Vermont Medical Center Inc
0.2 mi
Internal Medicine
111 COLCHESTER AVE
Burlington, VT 05401
  • Reassigned Medicare billing, Vermont enrollment
  • 1,643 clinicians in this Medicare group
NPI 1659309615 (802) 847-0000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05401 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.

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)
111 COLCHESTER AVE
BURLINGTON, VT 05401
Chittenden County (802) 847-4589
ANDREW HUY NGUYEN MD
Radiology (Diagnostic Radiology)
111 COLCHESTER AVE
BURLINGTON, VT 05401
Chittenden County (802) 847-0000
DR. KELLY CURTIS BLANCHET MD
Pediatrics
111 COLCHESTER AVE
BURLINGTON, VT 05401
Chittenden County (802) 847-2345
LINDSAY ANNE CALDARONE MD
Student in an Organized Health Care Education/Training Program
111 COLCHESTER AVE
BURLINGTON, VT 05401
Chittenden County (802) 847-2345
SHAWN LANSING
Student in an Organized Health Care Education/Training Program
111 COLCHESTER AVE
BURLINGTON, VT 05401
Chittenden County (802) 847-2345
HANNA S LOVING PHD
Pathology (Clinical Laboratory Director, Non-physician)
111 COLCHESTER AVE
BURLINGTON, VT 05401
Chittenden County (802) 847-5121
KAITLYN MARIE DILLON DNP, APRN, FNP-C
Nurse Practitioner
111 COLCHESTER AVE
BURLINGTON, VT 05401
Chittenden County (802) 847-0000

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 Monica Ploof's NPI number?

The NPI number for Monica Ploof is 1902082977. It was assigned to this individual provider in the NPPES registry on January 21, 2008.

Where is Monica Ploof located?

Monica Ploof practices at 111 Colchester Ave Smith 568, Burlington, VT 05401. The listed phone number is (802) 847-2850.

What is Monica Ploof's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Monica Ploof enrolled in Medicare?

Yes. Monica Ploof is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Monica Ploof's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Monica Ploof reassigns Medicare benefits to University Of Vermont Medical Center Inc (Burlington, 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 Monica Ploof's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Monica Ploof accept?

Health plans from Anthem Blue Cross and Blue Shield list Monica Ploof 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 Monica Ploof was last updated on January 21, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.