Ms Alexa Ruppert Holleran, APRN is a medicare enrolled "Nurse Practitioner - Adult Health" in Norwich, Vermont. Her current practice location is
66 Partridge Hl, Norwich, Vermont. You can reach out to her office (for appointments etc.) via phone at
(802) 825-8588.
Ms Alexa Ruppert Holleran is licensed to practice in New Hampshire (license number 074620-23) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1033692850.
Provider's Profile
| Full Name | Ms Alexa Ruppert Holleran |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Adult Health |
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| Location | 66 Partridge Hl, Norwich, Vermont |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1033692850
- Provider Enumeration Date: 09/07/2018
- Last Update Date: 03/05/2026
Medicare PECOS Information:
- PECOS PAC ID: 6507107166
- Enrollment ID: I20190408002400
Medical Identifiers
Medical identifiers for Ms Alexa Ruppert Holleran such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1033692850 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LG0600X | Nurse Practitioner - Gerontology | 074620-23 (New Hampshire) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | 074620-23 (New Hampshire) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Alexa Ruppert Holleran allows following entities to bill medicare on her behalf.
| Entity Name | Alice Peck Day Memorial Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1003803495
PECOS PAC ID: 6103737531
Enrollment ID: O20040927000296 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Alexa Ruppert Holleran is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Ms Alexa Ruppert Holleran, APRN
66 Partridge Hl,
Norwich, VT 05055-9637
Ph: (802) 825-8588 | Ms Alexa Ruppert Holleran, APRN
66 Partridge Hl,
Norwich, VT 05055-9637
Ph: (802) 825-8588 |
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