Active NPI
Timothy J Lensing, PA
- Medical Physician Assistant
- Rutland, VT
National Provider Identifier
1306802194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 055-0030458
- Practice address
- 215 Stratton Rd
Rutland, VT 05701-4621 - Phone
- (802) 772-3386
- Fax
- (802) 773-4578
- NPI assigned
- Apr 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 055-0030458 | VT | Primary |
Addresses
Primary practice location
215 Stratton Rd
Rutland, VT 05701-4621
Mailing address
215 Stratton Rd
Rutland, VT 05701-4621
Phone (802) 855-2027
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9000248 | Medicaid | VT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061221000374 | VT | Practitioner - Physician Assistant | 5193725109 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 055-0030458 | VT | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Centers of the Rutland Region Inc | Current | Accepting new patients |
Locations
275 VT 30 N
Bomoseen, VT 05732
Phone (802) 468-5641
71 Allen St
Ste 402
Rutland, VT 05701
Phone (800) 468-9118
215 Stratton Rd
Rutland, VT 05701
Phone (802) 773-3386
2987 Vt Route 22A
Shoreham, VT 05770
Phone (802) 897-7000
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.
-
- Federally Qualified Health Center (FQHC)
- Bomoseen, VT
- NPI 1336193838
VT
-
- Federally Qualified Health Center (FQHC)
- Rutland, VT
- NPI 1518613215
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437436800000",
"number": "1306802194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 STRATTON RD",
"city": "RUTLAND",
"state": "VT",
"postal_code": "057014621",
"telephone_number": "802-855-2027",
"fax_number": "802-855-2053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 STRATTON RD",
"city": "RUTLAND",
"state": "VT",
"postal_code": "057014621",
"telephone_number": "802-772-3386",
"fax_number": "802-773-4578"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LENSING",
"first_name": "TIMOTHY",
"middle_name": "J",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-21",
"last_updated": "2015-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "VT",
"license": "055-0030458",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9000248",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rutland, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.