Individual provider Active NPI

Jennifer Cyr Tinsman, PA-C

  • Physician Assistant
  • Rutland, VT
National Provider Identifier
1568599223
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
055-0030720 Issued in VT
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, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
9000313MedicaidVT

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050208000728 VT Practitioner - Physician Assistant 2860443728 Reassigns benefits to 3 organizations

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

LicenseStateTypeSpecialty
804NEMDClinical Psychologist
055-0030720VTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Rutland Hospital, Inc. CurrentSince Feb 25, 2013 Accepting new patients
Community Health Centers of the Rutland Region, Inc. CurrentSince Oct 24, 2016 Accepting new patients
Mid Vermont Pathology PC Current Accepting new patients
Rutland Hospital, Inc. CurrentSince Dec 6, 2004 Accepting new patients
Community Health Centers of the Rutland Region Inc CurrentSince Oct 24, 2016 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.