Active NPI
Jennifer Cyr Tinsman, PA-C
- Physician Assistant
- Rutland, VT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 055-0030720
- Practice address
- 215 Stratton Rd
Rutland, VT 05701-4621 - Phone
- (802) 773-3386
- Fax
- (802) 773-4578
- NPI assigned
- Feb 28, 2007
- Last updated
- Jun 11, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 055-0030720 | VT | Primary |
Addresses
Primary practice location
215 Stratton Rd
Rutland, VT 05701-4621
Mailing address
71 Allen St
Ste 101
Rutland, VT 05701-4570
Phone (802) 772-4414
Other practice location 1
71 Allen St Ste 403
Rutland, VT 05701-4570
Phone (802) 772-7992
Other practice location 2
1 General Wing Rd
Rutland, VT 05701-4681
Phone (802) 773-9131
Other practice location 3
2987 Vt Route 22A
Shoreham, VT 05770-9728
Phone (802) 897-7000
Other practice location 4
275 Route 30 N
Bomoseen, VT 05732-9647
Phone (802) 468-5641
Other practice location 5
420 Grove St
Brandon, VT 05733-9062
Phone (802) 247-6305
Other practice location 6
278 Vt Route 149
West Pawlet, VT 05775-9798
Phone (802) 645-0580
Other practice location 7
160 Allen St
Rutland, VT 05701-4560
Phone (802) 747-3602
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9000313 | 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
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Albany Medical College of Union University, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
215 Stratton Rd
Rutland, VT 05701-4621
Phone (802) 773-3386
2987 VT Route 22a
Shoreham, VT 05770-9728
Phone (802) 897-7000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 804 | NE | MD | Clinical Psychologist |
| 055-0030720 | VT | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rutland Hospital, Inc. | Current | Accepting new patients | |
| Community Health Centers of the Rutland Region, Inc. | Current | Accepting new patients | |
| Mid Vermont Pathology PC | Current | Accepting new patients | |
| Rutland Hospital, Inc. | Current | Accepting new patients | |
| Community Health Centers of the Rutland Region Inc | Current | Accepting new patients | |
| Community Health Centers of the Rutland Region, Inc. | Past | Accepting new patients |
Locations
275 VT 30 N
Bomoseen, VT 05732
Phone (802) 468-5641
420 Grove St
Brandon, VT 05733
Phone (802) 247-6305
1 General Wing Rd
Rutland, VT 05701
Phone (802) 773-9131
160 Allen St
Rutland, VT 05701
215 Stratton Rd
Rutland, VT 05701
Phone (802) 773-3386
71 Allen St
Ste 101
Rutland, VT 05701
Phone (800) 468-9118
71 Allen St
Ste 402
Rutland, VT 05701
Phone (800) 468-9118
71 Allen St
Ste 403
Rutland, VT 05701
Phone (802) 772-4414
2987 Vt Route 22A
Shoreham, VT 05770
Phone (802) 897-7000
278 Vt Route 149
West Pawlet, VT 05775
Phone (800) 468-9118
Interoperability endpoints
- jtinsman@chcrr.medentdirect.com
Organizations & group practices 8
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.
-
dba Rutland Community Health Center
- Federally Qualified Health Center (FQHC)
- Rutland, VT
- NPI 1467681114
-
- Emergency Medicine Physician
- Rutland, VT
- NPI 1194789941
-
dba Community Health North Main St
- Federally Qualified Health Center (FQHC)
- Rutland, VT
- NPI 1518613215
-
- Federally Qualified Health Center (FQHC)
- Rutland, VT
- NPI 1225400237
-
- Anatomic Pathology & Clinical Pathology Physician
- Rutland, VT
- NPI 1316085814
-
- Psychiatric Hospital Unit
- Rutland, VT
- NPI 1467416206
-
- Family Medicine Physician
- Brandon, VT
- NPI 1073567590
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Rutland Regional Medical Center
- General Acute Care Hospital
- Rutland, VT
- NPI 1720042203
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560211200000",
"number": "1568599223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "71 ALLEN ST",
"address_2": "STE 101",
"city": "RUTLAND",
"state": "VT",
"postal_code": "057014570",
"telephone_number": "802-772-4414",
"fax_number": "802-772-7973"
},
{
"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": "802-773-3386",
"fax_number": "802-773-4578"
}
],
"practiceLocations": [
{
"address_1": "71 Allen St Ste 403",
"address_purpose": "LOCATION",
"city": "Rutland",
"state": "VT",
"postal_code": "057014570",
"country_code": "US",
"telephone_number": "802-772-7992",
"fax_number": "802-855-8632",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 General Wing Rd",
"address_purpose": "LOCATION",
"city": "Rutland",
"state": "VT",
"postal_code": "057014681",
"country_code": "US",
"telephone_number": "802-773-9131",
"fax_number": "802-773-1551",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2987 Vt Route 22A",
"address_purpose": "LOCATION",
"city": "Shoreham",
"state": "VT",
"postal_code": "057709728",
"country_code": "US",
"telephone_number": "802-897-7000",
"fax_number": "802-897-7718",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "275 Route 30 N",
"address_purpose": "LOCATION",
"city": "Bomoseen",
"state": "VT",
"postal_code": "057329647",
"country_code": "US",
"telephone_number": "802-468-5641",
"fax_number": "802-468-2923",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "420 Grove St",
"address_purpose": "LOCATION",
"city": "Brandon",
"state": "VT",
"postal_code": "057339062",
"country_code": "US",
"telephone_number": "802-247-6305",
"fax_number": "802-247-6040",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "278 Vt Route 149",
"address_purpose": "LOCATION",
"city": "West Pawlet",
"state": "VT",
"postal_code": "057759798",
"country_code": "US",
"telephone_number": "802-645-0580",
"fax_number": "802-645-0587",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "160 Allen St",
"address_purpose": "LOCATION",
"city": "Rutland",
"state": "VT",
"postal_code": "057014560",
"country_code": "US",
"telephone_number": "802-747-3602",
"fax_number": "802-747-3847",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TINSMAN",
"first_name": "JENNIFER",
"middle_name": "CYR",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-28",
"last_updated": "2019-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VT",
"license": "055-0030720",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9000313",
"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 Jun 11, 2019; 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.