Active NPI
Jerrold A. Poitras, AS
- Case Manager/Care Coordinator
- Berlin, VT
National Provider Identifier
1700719374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 286 Hospital Loop
Berlin, VT 05602-9523 - Phone
- (802) 229-0591
- Fax
- (802) 223-3667
- NPI assigned
- Jun 4, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | VT | ||
| Case Manager/Care Coordinator | 171M00000X | VT | Primary |
Addresses
Primary practice location
286 Hospital Loop
Berlin, VT 05602-9523
Mailing address
PO Box 647
Montpelier, VT 05601-0647
Phone (802) 229-1399
Other practice location 1
13 Kynoch Ave
Barre, VT 05641-4623
Phone (802) 479-1339
Other practice location 2
34 Barre St
Montpelier, VT 05602-3510
Phone (802) 301-3200
Other names 1
- Jerry Poitras
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Associate of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780531200000",
"number": "1700719374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 647",
"city": "MONTPELIER",
"state": "VT",
"postal_code": "056010647",
"telephone_number": "802-229-1399",
"fax_number": "802-223-8623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "286 HOSPITAL LOOP",
"city": "BERLIN",
"state": "VT",
"postal_code": "056029523",
"telephone_number": "802-229-0591",
"fax_number": "802-223-3667"
}
],
"practiceLocations": [
{
"address_1": "13 Kynoch Ave",
"address_purpose": "LOCATION",
"city": "Barre",
"state": "VT",
"postal_code": "056414623",
"country_code": "US",
"telephone_number": "802-479-1339",
"fax_number": "802-479-4090",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "34 Barre St",
"address_purpose": "LOCATION",
"city": "Montpelier",
"state": "VT",
"postal_code": "056023510",
"country_code": "US",
"telephone_number": "802-301-3200",
"fax_number": "802-223-0842",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POITRAS",
"first_name": "JERROLD",
"middle_name": "A.",
"credential": "AS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-06-04",
"last_updated": "2026-06-04",
"certification_date": "2026-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "VT",
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "VT",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JERRY",
"last_name": "POITRAS",
"credential": "AS",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Berlin, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.