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

Mr. Jared Austin Leavitt, PAC

Individual provider Physician Assistant · NPI 1356376909

Mr. Jared Austin Leavitt, PAC is a Physician Assistant in Burlington, Vermont. Qualified in 2005, 21 years ago. Practices with Northern Counties Health Care Inc, a 48-clinician group and accepts Medicare assignment. Licensed in Vermont.

Years since qualifying
21
Licensed in
VT
In the registry since
2006
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

111 Colchester Ave
Burlington, VT 05401-1473
Phone: (802) 847-1237
Fax: (802) 847-1236
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 055-0030842 (VT)

Record details

NPI number1356376909
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedJuly 12, 2006
Last updated in NPPESJune 23, 2013

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Northern Counties Health Care Inc — 48 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations10 on file with Medicare

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