Individual provider Active NPI

Jerry M Linseisen, MD

  • Family Medicine Physician
  • Morrisville, VT
National Provider Identifier
1508897786
Registry record updated Aug 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0420013437 Issued in VT
Practice address
528 Washington Hwy
Morrisville, VT 05661-8973
Phone
(802) 888-4231
Fax
(802) 888-8203
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 050012345 ME
Student in an Organized Health Care Education/Training Program 390200000X EC131111 ME
Family Medicine Physician 207Q00000X 0420013437 VT Primary

Addresses

Primary practice location

528 Washington Hwy
Morrisville, VT 05661-8973

Mailing address

528 Washington Hwy
Morrisville, VT 05661-8973
Phone (802) 888-4231

Other identifiers 1

IdentifierTypeStateIssuer
1001761MedicaidVT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT, ME2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20161007000378 VT Practitioner - Emergency Medicine 0941236426 Reassigns benefits to 4 organizations
I20171012000860 ME Practitioner - Emergency Medicine 0941236426 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Maine Medical CenterGroup PAC ID 8426952987, 41 clinicians

Practice addresses (Care Compare)

194 E Main St
Fort Kent, ME 04743-1428
Phone (207) 834-3155

Hospital & facility affiliations

  • Northern Maine Medical Center Hospital, Fort Kent, ME, CCN 201317
  • Copley Hospital Hospital, Morrisville, VT, CCN 471305

Merit-based Incentive Payment System (MIPS)

Final score
79.42 of 100Reported as group
Quality
52.16
Promoting interoperability
94
Improvement activities
40
Cost
67.56

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
050012345MEMDFamily Medicine Physician
0420013437VTMDFamily Medicine Physician
EC131111MEMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Northwestern Medical Center, Inc. Current Accepting new patients
Northwestern Medical Center Inc CurrentSince Apr 9, 2018 Accepting new patients
Mainegeneral Medical Center CurrentSince Jul 29, 2017 Accepting new patients
Copley Hospital, Inc. CurrentSince Jul 5, 2016 Accepting new patients
Northern Maine Medical Center CurrentSince Apr 1, 2024 Accepting new patients
Copley Hospital, Inc. Current Accepting new patients
Northwestern Medical Center, Inc. CurrentSince Nov 2, 2017 Accepting new patients
Northern Maine Medical Center CurrentSince Apr 1, 2024 Accepting new patients
Northwestern Medical Center, Inc CurrentSince Nov 2, 2017 Accepting new patients
Copley Hospital Inc Current Accepting new patients
Copley Hospital, Inc. Current Accepting new patients
Mainegeneral Medical Center CurrentSince Jul 29, 2017 Accepting new patients
Copley Hospital, Inc. Current Accepting new patients
Copley Hospital, Inc CurrentSince Jul 5, 2016 Accepting new patients

Locations

194 E Main St
Fort Kent, ME 04743
Phone (207) 834-3101

149 North St
Waterville, ME 04901
Phone (207) 622-1959

927 Ethan Allen Hwy
Unit 2
Milton, VT 05468
Phone (802) 524-8911

528 Washington Hwy
Morrisville, VT 05661
Phone (802) 888-4231

260 Crest Rd
Ste 101
Saint Albans, VT 05478
Phone (802) 524-1223

133 Fairfield St
#C26350
Saint Albans, VT 05478

260 Crest Rd
Ste 102
Saint Albans, VT 05478
Phone (802) 524-1064

133 Fairfield St
Saint Albans, VT 05478
Phone (802) 524-1227

260 Crest Rd
Ste 103
Saint Albans, VT 05478
Phone (802) 524-8911

3 Crest Rd
Saint Albans, VT 05478
Phone (802) 524-4554

133 Fairfield St
Ste 102
Saint Albans, VT 05478
Phone (802) 524-5911

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471478400000",
    "number": "1508897786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 WASHINGTON HWY",
            "city": "MORRISVILLE",
            "state": "VT",
            "postal_code": "056618973",
            "telephone_number": "802-888-4231",
            "fax_number": "802-888-8203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 WASHINGTON HWY",
            "city": "MORRISVILLE",
            "state": "VT",
            "postal_code": "056618973",
            "telephone_number": "802-888-4231",
            "fax_number": "802-888-8203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINSEISEN",
        "first_name": "JERRY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2016-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "050012345",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "ME",
            "license": "EC131111",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VT",
            "license": "0420013437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1001761",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morrisville, VT

Sources for this page

Verify at the official NPI Registry.