Individual provider Active NPI

Tusa C Van Vogelpoel, MD

  • Family Medicine Physician
  • Morrisville, VT
National Provider Identifier
1518429299
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
042.0016420 Issued in VT
Practice address
609 Washington Hwy
Morrisville, VT 05661-8652
Phone
(802) 888-5639
Fax
(802) 888-6040
NPI assigned
Apr 2, 2019
Last updated
Aug 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 042.0016420 VT Primary

Addresses

Primary practice location

609 Washington Hwy
Morrisville, VT 05661-8652

Mailing address

PO Box 749
Morrisville, VT 05661-0749
Phone (802) 851-8619

Other practice location 1

1878 Mountain Rd
Stowe, VT 05672
Phone (802) 253-4853

Other names 1

  • Dr. Carolyn Marie Tusa Former name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221020001383 VT Practitioner - Family Practice 2567838212 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Connecticut School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lamoille Health Partners IncGroup PAC ID 4789586942, 37 clinicians

Practice addresses (Care Compare)

272 N Main St
Unit 101
Cambridge, VT 05444-9810
Phone (802) 644-5114

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.39 of 100Reported as group
Quality
72.51
Promoting interoperability
100
Improvement activities
40
Cost
55.45

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Lamoille Health Partners, Inc Current Accepting new patients
Lamoille Health Partners Inc. Family Medicine CurrentSince Sep 7, 2022 Accepting new patients
Lamoille Health Partners, Inc Family Medicine Current Accepting new patients
Lamoille Health Partners, Inc Family Medicine Current Accepting new patients
The Manor Inc Past Accepting new patients

Locations

272 N Main St
Unit 101
Cambridge, VT 05444
Phone (802) 644-5114

609 Washington Hwy
Morrisville, VT 05661
Phone (802) 888-5639

Interoperability endpoints

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

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
The Manor IncMorrisville, VT, CCN 475057 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Apr 1, 2025
Apr 1, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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.

Hospital & facility affiliations 7

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": "1554163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1518429299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749",
            "city": "MORRISVILLE",
            "state": "VT",
            "postal_code": "056610749",
            "telephone_number": "802-851-8619",
            "fax_number": "802-851-8716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 WASHINGTON HWY",
            "city": "MORRISVILLE",
            "state": "VT",
            "postal_code": "056618652",
            "telephone_number": "802-888-5639",
            "fax_number": "802-888-6040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1878 Mountain Rd",
            "address_purpose": "LOCATION",
            "city": "Stowe",
            "state": "VT",
            "postal_code": "05672",
            "country_code": "US",
            "telephone_number": "802-253-4853",
            "fax_number": "802-888-1759",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN VOGELPOEL",
        "first_name": "TUSA",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-02",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VT",
            "license": "042.0016420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLYN",
            "last_name": "TUSA",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Morrisville, VT

Sources for this page

Verify at the official NPI Registry.