ELIZABETH MCDONALD APRN
NPI 1235657131
Nurse Practitioner - Family in Burlington, VT

NPI Status: Active since August 31, 2017

Contact Information

1 S PROSPECT ST
BURLINGTON, VT
ZIP 05401
Phone: (802) 847-4696

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  • Individual
  • Female
  • Nurse Practitioner
  • Family
  • Accepts Insurance
  • PECOS Enrolled

About ELIZABETH MCDONALD

This page provides the complete NPI Profile along with additional information for Elizabeth Mcdonald, a provider established in Burlington, Vermont with a medical specialization in Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1235657131 assigned on August 2017. The practitioner's primary taxonomy code is 363LF0000X with license number 101.0129247 (VT). The provider is registered as an individual and her NPI record was last updated 8 years ago.

NPI
1235657131
Provider Name
ELIZABETH MCDONALD APRN
Gender
Female
Entity Type
Individual
Location Address
1 S PROSPECT ST BURLINGTON, VT 05401
Location Phone
(802) 847-4696
Mailing Address
2 BREWER PKWY SOUTH BURLINGTON, VT 05403
Is Sole Proprietor?
No
Enumeration Date
08-31-2017
Last Update Date
08-31-2017
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A nurse practitioner (NP) like Elizabeth Mcdonald is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
101.0129247
License State
VT

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Anthem Bronze Access Blue New England HMO 5000/10%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 5000/20%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 6500/30%/9200 Value - HMO
  • Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
  • Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
  • Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
  • Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
  • Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
  • Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
  • Anthem Gold Access Blue New England HMO 3000/0%/5500 RxD - HMO
  • Anthem Gold Access Blue New England HMO 500/25%/7000 - HMO
  • Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
  • Anthem Silver Access Blue New England HMO 2000/30%/9000 Value - HMO
  • Anthem Silver Access Blue New England HMO 3000/20%/8500 - HMO
  • Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
  • Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
  • Anthem Silver Access Blue New England HMO 4000/0%/8500 - HMO
  • Anthem Silver Access Blue New England HMO 4000/0%/8500 RxD - HMO
  • Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Elizabeth Mcdonald is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 05401 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $85.89
  • Minimum New Patient Price $55.8
  • Maximum New Patient Price $168.48
  • Average New Patient Copayment $21.47
  • Minimum New Patient Copayment $13.95
  • Maximum New Patient Copayment $42.12

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $98.4
  • Minimum Established Patient Price $18.08
  • Maximum Established Patient Price $137.84
  • Average Established Patient Copayment $24.6
  • Minimum Established Patient Copayment $4.52
  • Maximum Established Patient Copayment $34.46

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for ELIZABETH MCDONALD APRN

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1235657131
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22651251416
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 6 + 5 + 1 + 2 + 5 + 1 + 4 + 1 + 6 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1235657131 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1891773073DR. ROSE CROWLEY CHRISTIAN MD
Individual
Internal Medicine (Endocrinology, Diabetes & Metabolism)1 S PROSPECT ST DEPT OF ENDOCRINOLOGY
BURLINGTON, VT 05401
(802) 847-4576
1346271046MRS. SANDRA BOUCHER MCGRATH APRN
Individual
Nurse Practitioner1 S PROSPECT ST
BURLINGTON, VT 05401
(802) 847-4589
1740215524 IRIS S MCDONALD CNP
Individual
Nurse Practitioner (Family)1 S PROSPECT ST
BURLINGTON, VT 05401
(802) 847-4531
1275558801DR. MICHEL YVES BENOIT M.D. FRCS (C)
Individual
Orthopaedic Surgery1 S PROSPECT ST
BURLINGTON, VT 05401
(802) 847-4690
1104842376 ADAM SHAFRITZ M.D.
Individual
Orthopaedic Surgery1 S PROSPECT ST
BURLINGTON, VT 05401
(802) 847-4690
1639197908 BENJAMIN LITTENBERG MD
Individual
Internal Medicine1 S PROSPECT ST
BURLINGTON, VT 05401
(802) 847-4531
1902825201DR. RICHARD WASSERMAN M.D.
Individual
Pediatrics1 S PROSPECT ST
BURLINGTON, VT 05401
(802) 847-4544
1518987619DR. JAMES LEE JACOBSON M.D.
Individual
Psychiatry & Neurology (Psychiatry)1 S PROSPECT ST
BURLINGTON, VT 05401
(802) 847-4560
1114947314DR. HAROLD HOLLINGWORTH MORRIS III M.D.
Individual
Psychiatry & Neurology (Neurology)1 S PROSPECT ST
BURLINGTON, VT 05401
(802) 656-4588
1447272869 LORI BETH RACHA M.D.
Individual
Pediatrics1 S PROSPECT ST
BURLINGTON, VT 05401
(802) 847-4696
1811910961DR. JOHN E HELZER M.D.
Individual
Psychiatry & Neurology (Psychiatry)1 S PROSPECT ST
BURLINGTON, VT 05401
(802) 847-4560
1669495727MR. EDWARD HANDY MS
Individual
Counselor (Mental Health)1 S PROSPECT ST FAHC UHC PSYCHIATRY
BURLINGTON, VT 05401
(802) 847-4560
1780608588DR. ROBERT KARP MD
Individual
Internal Medicine (Geriatric Medicine)1 S PROSPECT ST
BURLINGTON, VT 05401
(802) 847-4531
1578577508DR. JAMES M TALLMADGE PH.D.
Individual
Psychologist (Clinical)1 S PROSPECT ST ARNOLD 3
BURLINGTON, VT 05401
(802) 847-4560
1730193913DR. PHILIP PATRICK TRABULSY MD
Individual
Orthopaedic Surgery (Hand Surgery)1 S PROSPECT ST
BURLINGTON, VT 05401
(802) 847-4690
1689680647DR. MARK ELIOT PASANEN MD
Individual
Internal Medicine1 S PROSPECT ST
BURLINGTON, VT 05401
(802) 847-4531
1912914318DR. ROBERT EVAN SHAPIRO M.D., PH.D.
Individual
Psychiatry & Neurology (Neurology)1 S PROSPECT ST
BURLINGTON, VT 05401
(802) 656-4588
1427066935DR. STEVE GRANT MD
Individual
Internal Medicine1 S PROSPECT ST UHC CAMPUS
BURLINGTON, VT 05401
(802) 847-4531
1679581300DR. PETER PANAGIOTIS METRAKOS MD, FRCSC, FACS
Individual
Transplant Surgery1 S PROSPECT ST UHC CAMPUS, RENAL/TRANSPLANT - 4TH FL
BURLINGTON, VT 05401
(802) 847-4548
1770592859DR. CHRISTA MARIE HILDEGARD ZEHLE M.D.
Individual
Pediatrics1 S PROSPECT ST
BURLINGTON, VT 05401
(802) 847-4696

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235657131, enumerated in the NPI registry as an "individual" on August 31, 2017

The provider is located at 1 S Prospect St Burlington, Vt 05401 and the phone number is (802) 847-4696

The provider's speciality is Nurse Practitioner with taxonomy code 363LF0000X with a focus in Family

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $85.89 with an average copayment of $21.47 for new patient appointments. Established patients should expect a typical charge of $98.4 and an average copayment of 24.6. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on August 31, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.