DR. JERRY M LINSEISEN (MD) – Family Medicine Physician, NPI 1508897786

DR. JERRY M LINSEISEN (MD) is a healthcare provider. based in Morrisville, Vermont. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 050012345 (ME). The NPI Number for DR. JERRY M LINSEISEN (MD) is 1508897786

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
DR. JERRY M LINSEISEN (MD)
NPI
1508897786
Phone
(802) 888-4231
Address
528 WASHINGTON HWY
Enumeration Date
5 July 2006
Last Update Date
18 August 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2078343155
Graduation Year
2012 (14 years ago)
PAC ID
0941236426
Group Practice PAC ID
8426952987
Professional Enrollment ID
I20171012000860
Address ID
ME047431428FO194XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness75
Years active:19State licenses:3Digital endpointsOther names

169 EMERGENCY MEDICINE in VT

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Provider Addresses for DR. JERRY M LINSEISEN (MD)

  • Copley Hospital, 528, Washington Highway, Morrisville, Morristown, Lamoille County, Vermont, 05661, United States

    MORRISVILLE, VT 056618973

    Phone: (802) 888-4231

    Fax: (802) 888-8203

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-10-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20161007000378IEmergency MedicineVTTBD
I20171012000860IEmergency MedicineMETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 05661)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8426952987View full group profile
NameSpecialtyState
-ME
Nurse PractitionerME
Family PracticeME
Nurse PractitionerME
Family PracticeME
Emergency MedicineHI
Certified Registered Nurse Anesthetist (Crna)NC
H O S P I T A L I S TME
Nurse PractitionerME
Emergency MedicinePA

Reviews

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Frequently asked questions

Does DR. JERRY M LINSEISEN (MD) have a public NPI I can cite?
Public records show DR. JERRY M LINSEISEN (MD) under NPI 1508897786.
Should I treat DR. JERRY M LINSEISEN (MD) as an active provider?
Patients and plans typically see DR. JERRY M LINSEISEN (MD) as active in the national extract.
What does the directory say DR. JERRY M LINSEISEN (MD) does?
Insurance directories may phrase it differently, but here DR. JERRY M LINSEISEN (MD) maps to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Can patients visit DR. JERRY M LINSEISEN (MD) in Morrisville, Vermont?
For routing, start with Morrisville, Vermont for DR. JERRY M LINSEISEN (MD), then verify phone and hours locally.
Who maintains DR. JERRY M LINSEISEN (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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