Active NPI
Nicolette Alexandria Metrusias, M.D.
- Emergency Medicine Physician
- Laconia, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 60846
- Practice address
- 80 Highland St
Laconia, NH 03246-3235 - Phone
- (603) 527-2977
- NPI assigned
- Apr 6, 2017
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 60846 | TN | Primary |
Addresses
Primary practice location
80 Highland St
Laconia, NH 03246-3235
Mailing address
80 Highland St
Laconia, NH 03246-3235
Other practice location 1
11234 Anderson St
Loma Linda University Health- Emergency
Loma Linda, CA 92354-2804
Phone (909) 558-4085
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Michigan State University College of Human Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15615 Pomerado Rd
Poway, CA 92064-2405
Phone (310) 379-2134
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.47 of 100
- Quality
- 85.24
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60846 | TN | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alvarado Emergency Medical Associates, Inc. | Emergency Medicine | Current | Accepting new patients |
| Palomar Emergency Physicians, Inc | Emergency Medicine | Current | Accepting new patients |
Locations
15615 Pomerado Rd
Poway, CA 92064
Phone (858) 613-4000
6655 Alvarado Rd
San Diego, CA 92120
Phone (619) 229-3130
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Escondido, CA
- NPI 1124698139
-
- Emergency Medicine Physician
- San Diego, CA
- NPI 1285811992
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Poway, CA
- NPI 1376513754
-
- General Acute Care Hospital
- Escondido, CA
- NPI 1457321317
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624924800000",
"number": "1003349002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 HIGHLAND ST",
"city": "LACONIA",
"state": "NH",
"postal_code": "032463235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 HIGHLAND ST",
"city": "LACONIA",
"state": "NH",
"postal_code": "032463235",
"telephone_number": "603-527-2977"
}
],
"practiceLocations": [
{
"address_1": "11234 Anderson St",
"address_2": "Loma Linda University Health- Emergency",
"address_purpose": "LOCATION",
"city": "Loma Linda",
"state": "CA",
"postal_code": "923542804",
"country_code": "US",
"telephone_number": "909-558-4085",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "METRUSIAS",
"first_name": "NICOLETTE",
"middle_name": "ALEXANDRIA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-06",
"last_updated": "2021-06-29",
"certification_date": "2021-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TN",
"license": "60846",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laconia, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; 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.