Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Elizabeth Fuccillo

Individual provider Surgical Physician Assistant · NPI 1326576349

Elizabeth Fuccillo is a Physician Assistant in Burlington, Vermont. Qualified in 2017, 9 years ago. Practices with University of Vermont Medical Center Inc, a 1,202-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Vermont.

Years since qualifying
9
Licensed in
VT
In the registry since
2017
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Practice location Address checks out

789 Pine St
Burlington, VT 05401-4924
Phone: (802) 864-0693
Fax: (802) 860-4324
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 617 Riverside Ave, Burlington, VT 05401-1601 — (800) 028-6463

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 055.0031603 (VT)

Record details

NPI number1326576349
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 3, 2017
Last updated in NPPESNovember 4, 2022
Certification dateNovember 4, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice University Of Vermont Medical Center Inc — 1202 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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