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NPISignal

Individual Healthcare Provider

Marc Belisle

NPI Record: ActiveNurse Practitioner
NPI1649785262
Berlin, Vermont

Provider's NPPES record last updated: July 9, 2026

Overview

Entity Type
Individual Healthcare Provider
NPI
1649785262
Primary Specialty
Nurse Practitioner
Practice Location
Berlin, Vermont
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 19, 2026, 6:54 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Nurse Practitioner

    Physician Assistants & Advanced Practice Nursing Providers

    Primary

    (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

    Taxonomy code 363L00000X
  • Nurse Practitioner

    Family

    Physician Assistants & Advanced Practice Nursing Providers

    Definition to come...

    Taxonomy code 363LF0000X

Provider-Reported License Information

Nurse Practitioner (Vermont)
101.0134723
Nurse Practitioner (Rhode Island)
APRN01735
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

130 Fisher Rd Unit 1

Berlin, Vermont 05602-8132

Phone: (802) 371-4264

Additional Practice Location

115 Porter Dr

Middlebury, Vermont 05753-8629

Phone: (802) 388-5678

Additional Practice Location

111 Colchester Ave

Burlington, Vermont 05401-1473

Phone: (802) 847-0000

Additional Practice Location

1360 W Main Rd

Middletown, Rhode Island 02842-6301

Phone: (401) 606-3110

Fax: (401) 619-8969

Additional Practice Location

790 College Pkwy

Colchester, Vermont 05446-3007

Phone: (802) 847-1170

Record Information

Enumeration Date
December 5, 2017
Provider's NPPES Record Last Updated
July 9, 2026
Certification Date
July 9, 2026
NPISignal NPPES Dataset
August 2026

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