LENA WASMUS APRN
NPI 1912301193
Nurse Practitioner - Family in Middlebury, VT

Active since October 16, 2014PECOS EnrolledAccepts Medicare Assignment
1330 EXCHANGE ST STE 201, MIDDLEBURY, VT 05753(802) 855-2027(802) 855-2053 Get Directions Write a Review

NPPES record last updated: October 14, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lena Wasmus Aprn NPPES

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

LENA WASMUS APRN (NPI 1912301193) is an individual family provider in Middlebury, Vermont, licensed in Vermont (101-0107739) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS, is affiliated with Elizabethtown Community Hospital, and is a graduate of Duke University School Of Medicine (2014).

NPPES Registry Identity

NPI1912301193
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLENA WASMUSCredential: APRN
Location Address1330 EXCHANGE ST STE 201Middlebury, VT 05753-4464
Mailing Address1330 Exchange St Ste 201Middlebury, VT 05753-4464 · (802) 855-2027 · Fax (802) 855-2053
Fax(802) 855-2053
Sole ProprietorNo
Medical School CMSDuke University School Of MedicineGraduated 2014
Enumeration DateOctober 16, 2014
Last NPPES UpdateOctober 14, 2020
NPPES CertifiedOctober 14, 2020
NPI 1912301193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in VT · 101-0107739
Also ListedRegistered NurseTaxonomy 163W00000X · License 0101390 (VT)
1330 EXCHANGE ST STE 201, Middlebury, VT 05753

Other Identifiers 2

Medicaid1024132VT
Medicaid04088579NY

Accepted 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

Lena Wasmus Aprn 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 ID3678896750
PECOS Enrollment IDI20141222000545
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 14

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.
394 services139 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.
226 services114 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.
83 services63 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.
72 services72 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.
48 services47 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.
41 services17 patients

Hospital Affiliations CMS Care Compare 4

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

Elizabethtown Community Hospital

Critical Access Hospitals · Elizabethtown, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number331302
Location75 Park StreetElizabethtown, NY 12932 · Essex County
Emergency services Birthing friendly

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

Rutland Regional Medical Center

Acute Care Hospitals · Rutland, VT
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number470005
Location160 Allen StRutland, VT 05701 · Rutland County
Emergency services Birthing friendly

Porter Hospital, Inc

Critical Access Hospitals · Middlebury, VT
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number471307
Location115 Porter DriveMiddlebury, VT 05753 · Addison County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05753 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
6 suppliers13 claims29 services$6.57 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers11 claims11 services$1.13 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 6

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

Pediatrics
1330 EXCHANGE ST STE 201
MIDDLEBURY, VT 05753
Internal Medicine
1330 EXCHANGE ST STE 201
MIDDLEBURY, VT 05753
Internal Medicine
1330 EXCHANGE ST STE 201
MIDDLEBURY, VT 05753
Family Medicine
1330 EXCHANGE ST STE 201
MIDDLEBURY, VT 05753
Family Medicine
1330 EXCHANGE ST STE 201
MIDDLEBURY, VT 05753
Health Maintenance Organization
1330 EXCHANGE ST STE 201
MIDDLEBURY, VT 05753

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 Lena Wasmus's NPI number?

The NPI number for Lena Wasmus is 1912301193. It was assigned to this individual provider in the NPPES registry on October 16, 2014.

Where is Lena Wasmus located?

Lena Wasmus practices at 1330 Exchange St Ste 201, Middlebury, VT 05753. The listed phone number is (802) 855-2027.

What is Lena Wasmus's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Lena Wasmus enrolled in Medicare?

Yes. Lena Wasmus 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 Lena Wasmus accept?

Health plans from Anthem Blue Cross and Blue Shield list Lena Wasmus 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 Lena Wasmus affiliated with any hospitals?

According to CMS data, Lena Wasmus is affiliated with Elizabethtown Community Hospital, Univ. Of Vermont - Fletcher Allen Health Care, Rutland Regional Medical Center and Porter Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Lena Wasmus was last updated on October 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.