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

Mr. Patrick Cornelius Kearney, PA

Individual provider Physician Assistant · NPI 1801868005

Mr. Patrick Cornelius Kearney, PA is a Physician Assistant in Williston, Vermont. Qualified in 2005, 21 years ago. Practices with Evergreen Family Health Partners, a 20-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Vermont.

Years since qualifying
21
Licensed in
VT
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

28 Park Ave
Williston, VT 05495-9701
Phone: (802) 878-1008
Fax: (802) 872-2679
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 055-0030829 (VT)
Physician Assistant Taxonomy 363A00000X · Licence 055-0030968 (VT)

Record details

NPI number1801868005
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 2, 2006
Last updated in NPPESNovember 25, 2014
Mailing address28 Park Ave, Primary Care, Williston, VT 05495-9701

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 Evergreen Family Health Partners — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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