Jessica C Lindert, RN
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Bomoseen, VT
NPI 1265769210 · NPPES record last updated Feb 11, 2020
Key facts
- NPI
- 1265769210
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 101.0083502 (VT)
- Practice address
- 275 Route 30 N
Bomoseen, VT 05732-9647 - Phone
- (802) 468-5641
- Fax
- (802) 468-2923
- NPI assigned
- Nov 12, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 17
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Counseling Service of Addison County Inc
Practice addresses (Care Compare)
89 Main St
Middlebury, VT 05753-1459
Phone (802) 388-6751
Hospital & facility affiliations
- Porter Hospital Inc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120420000023 | VT | Practitioner - Nurse Practitioner | 0941461818 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 026.0043536 | VT | MD | Registered Nurse |
| 101.0083502 | VT | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Five-Town Health Alliance, Inc | Current |
Accepting new patients | |
| Five-Town Health Alliance, Inc | Current |
Accepting new patients | |
| Counseling Service of Addison County, Inc | Current |
Accepting new patients |
Locations
61 Pine St
Bldg 4
Bristol, VT 05443
Phone (802) 453-3911
61 Pine St
Bristol, VT 05443
Phone (802) 453-3911
89 Main St
Middlebury, VT 05753
Phone (802) 388-6751
109 Catamount Park
Middlebury, VT 05753
Phone (802) 388-4021
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 101.0083502 | VT | Yes |
| Registered Nurse | 163W00000X | 026.0043536 | VT |
Addresses
Primary practice location
275 Route 30 N
Bomoseen, VT 05732-9647
Mailing address
275 Route 30 N
Bomoseen, VT 05732-9647
Phone (802) 468-5641
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1020069 | Medicaid | VT |
Other providers in Bomoseen, VT
- Pauline Kahng
- Stephen S Kornbluth
- KPH Healthcare Services, Inc.
- Hannah Mary Kussel
- Lakewood Adult Family Home Inc
- Colleen Mitchell
- Laura Morin
- Gabrielle Myrick
- Lara K Peck
- Jill V Read
All providers in Bomoseen, VT · Psychiatric/Mental Health Nurse Practitioner in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 11, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.