Caroline Krumholz Linehan
Individual provider Active NPI Family Medicine Physician · Berlin, VT
NPI 1770043341 · NPPES record last updated Dec 8, 2022
Key facts
- NPI
- 1770043341
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- MD61179858 (WA)
- Practice address
- 130 Fisher Rd
Berlin, VT 05602-9516 - Phone
- (802) 371-4100
- NPI assigned
- Mar 20, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Vermont College of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Central Vermont Medical Center Inc
Practice addresses (Care Compare)
1311 Barre Montpelier Rd
Berlin, VT 05602
1311 Barre Montpelier Road
400 CVMC Orthopedics and Spine Medicine
Berlin, VT 05602
Phone (802) 225-3970
246 Granger Rd
Berlin, VT 05602
82 E View Lane
3 CVMC Family Psychiatry
Berlin, VT 05602
Phone (802) 225-1266
87 Paine Mountain Dr
Green Mountain Family Practice
Northfield, VT 05663-5791
Phone (802) 485-4161
Hospital & facility affiliations
- Central Vermont Home Health & Hospice
- Central Vermont Medical Center
- Mary Hitchcock Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221219002375 | VT | Practitioner - Family Practice | 7911232665 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042.0016389 | VT | MD | Family Medicine Physician |
| MD61179858 | WA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Vermont Medical Center Inc | Family Medicine | Current |
Accepting new patients |
| Central Vermont Medical Center Inc | Past | Accepting new patients |
Locations
130 Fisher Rd
Berlin, VT 05602
Phone (802) 225-5820
130 Fisher Rd
#C
Berlin, VT 05602
Phone (802) 225-5400
Interoperability endpoints
- clinehan231369@ghc.direct-ci.net
- clinehan518075@direct.uvmhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 042.0016389 | VT | |
| Family Medicine Physician | 207Q00000X | MD61179858 | WA | Yes |
Addresses
Primary practice location
130 Fisher Rd
Berlin, VT 05602-9516
Mailing address
130 Fisher Rd
Berlin, VT 05602-9516
Phone (802) 371-4100
Other practice location 1
125 16th Ave E # Csb545
Seattle, WA 98112-5211
Phone (206) 326-3585
Other names
- Caroline B Krumholz
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq | Health Information Exchange (HIE) |
Other providers in Berlin, VT
- Derek A. Lewis
- Jessie L Leyse
- Richard Libby
- Elkanah Linder
- Melissa Lindhiem
- Stefan Lischke
- Rachel Long
- Jose Lopez
- Carolyn Sarah Lorenz-Greenberg
- Christopher Joseph Lukonis
All providers in Berlin, VT · Family Medicine Physician in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 8, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.