Winooski Integrative Medicine PC
NPI 1619694478 · Multi-Specialty Clinic/Center · Winooski, VT
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Winooski Integrative Medicine PC is a Multi-Specialty Clinic/Center organization in Winooski, VT (NPI 1619694478).
Provider details
- NPI number
- 1619694478
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Sam Russo, Principal(802) 636-4133
Specialties & taxonomies
Ambulatory Health Care Facilities
- Acupuncturist171100000X
Other Service Providers
- Naturopath175F00000X
Other Service Providers
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-10-24
- Last updated
- 2025-02-14
- Certified
- 2025-02-14
Frequently asked questions
- What is Winooski Integrative Medicine PC's NPI number?
- Winooski Integrative Medicine PC's National Provider Identifier (NPI) is 1619694478, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Winooski Integrative Medicine PC?
- Winooski Integrative Medicine PC is classified in the NPPES registry as Multi-Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Winooski Integrative Medicine PC located?
- Winooski Integrative Medicine PC's practice location on file with NPPES is 321 Main St Ste B, Winooski, VT 05404-1380.
- What is Winooski Integrative Medicine PC's phone number?
- The practice phone number listed in the NPPES registry for Winooski Integrative Medicine PC is (802) 636-4133.
- Does Winooski Integrative Medicine PC accept Medicare?
- Winooski Integrative Medicine PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Winooski Integrative Medicine PC?
- The authorized official listed on Winooski Integrative Medicine PC's NPPES record is Sam Russo, Principal. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Winooski Integrative Medicine PC's NPI active?
- Yes — Winooski Integrative Medicine PC's NPI (1619694478) is active in the NPPES registry as of the last update on 2025-02-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.