Individual provider Active NPI

Jenness Lee Kocsis, D.C.

  • Chiropractor
  • South Burlington, VT
National Provider Identifier
1104291889
Registry record updated Dec 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
006.0116396 Issued in VT
Practice address
185 Tilley Dr
South Burlington, VT 05403-4484
Phone
(802) 879-1703
NPI assigned
Dec 7, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 006.0116396 VT Primary

Addresses

Primary practice location

185 Tilley Dr
South Burlington, VT 05403-4484

Mailing address

185 Tilley Dr
South Burlington, VT 05403-4484
Phone (802) 879-1703

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160127001374 VT Practitioner - Chiropractic 0749583631 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Vermont ChiropracticGroup PAC ID 0840544631, 4 clinicians

Practice addresses (Care Compare)

81 River St
Suite 104
Montpelier, VT 05602-3750
Phone (802) 552-0284

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006.0116396VTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Central Vermont Chiropractic Chiropractor CurrentSince Nov 3, 2018 Accepting new patients
Maitri Health Care for Women PC PastSince Nov 5, 2016 Accepting new patients

Locations

81 River St
Ste 104
Montpelier, VT 05602
Phone (802) 223-0665

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ACAHCA

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1449446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449446400000",
    "number": "1104291889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 TILLEY DR",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054034484",
            "telephone_number": "802-879-1703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 TILLEY DR",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054034484",
            "telephone_number": "802-879-1703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCSIS",
        "first_name": "JENNESS",
        "middle_name": "LEE",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-07",
        "last_updated": "2015-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VT",
            "license": "006.0116396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Burlington, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.