Jerry Steven Hale, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

42-0008917 Issued in VT

Practice address

89 Main St
Essex JCT, VT 05452-3207

Phone

(802) 879-6556

Fax

(802) 872-8021

NPI assigned

Oct 10, 2005

Last updated

May 9, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Pediatric Medicine

Education

University of North Carolina at Chapel Hill School of Medicine, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: steve@ep.pcc-direct.com

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

• Essex Pediatrics PC

  • Pediatrics Physician
  • Essex JCT, VT
  • NPI 1104925817
  Medicare reassignment
• University of Vermont Medical Center Inc

  • General Acute Care Hospital
  • Burlington, VT
  • NPI 1568419976
  NPD (past)

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683590400000",
    "number": "1487642807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 MAIN ST",
            "city": "ESSEX JCT",
            "state": "VT",
            "postal_code": "054523207",
            "telephone_number": "802-879-6556",
            "fax_number": "802-872-8021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 MAIN ST",
            "city": "ESSEX JCT",
            "state": "VT",
            "postal_code": "054523207",
            "telephone_number": "802-879-6556",
            "fax_number": "802-872-8021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALE",
        "first_name": "JERRY",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-10",
        "last_updated": "2023-05-09",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VT",
            "license": "42-0008917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OVN0885",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dorothy Fisher, MD
• Sylvia Irene Fjeld, P.T.
• Rachel M Foxx, RN, IBCLC
• Debra Frisbie, H.I.S.
• Craig Allen Goliber, D.M.D.
• Hillary Holmes, LICSW
• Gary B Irish, O.D.
• J. Scott Thompson, D.M.D., P.C.
• Elizabeth H Jillson, M.D.
• Sandra E Kapsalis, M.D.

• Pediatrics Physician in Essex JCT, VT
• Providers in Essex JCT, VT by specialty
• Pediatrics Physician in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; 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.
• 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.