Individual provider Active NPI

Lindsey Kaye Macmillan, NP

  • Nurse Practitioner
  • Dover, NH
National Provider Identifier
1003577792
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
082840-23 Issued in NH
Practice address
784 Central Ave
Dover, NH 03820-2549
Phone
(603) 742-5556
NPI assigned
Jan 4, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 082840-23 NH
Student in an Organized Health Care Education/Training Program 390200000X 082840-21 NH
Nurse Practitioner 363L00000X 082840-23 NH Primary

Addresses

Primary practice location

784 Central Ave
Dover, NH 03820-2549

Mailing address

14 Boston Harbor Rd
Dover, NH 03820-4605
Phone (603) 498-1554

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, ME2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231009000230 NH Practitioner - Nurse Practitioner 2062867260 Reassigns benefits to 1 organization
I20231021000233 ME Practitioner - Nurse Practitioner 2062867260 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Campbell Dermatology PAGroup PAC ID 9537154059, 19 clinicians

Practice addresses (Care Compare)

784 Central Ave
Dover, NH 03820-2549
Phone (603) 742-5556

Hospital & facility affiliations

  • Wentworth-Douglass Hospital Hospital, Dover, NH, CCN 300018

Merit-based Incentive Payment System (MIPS)

Final score
86.63 of 100Reported as group
Quality
84.27
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
082840-23NHMDFamily Nurse Practitioner
082840-21NHMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Campbell Dermatology PA CurrentSince Sep 15, 2024 Accepting new patients
Northeast Dermatology Associates, PC CurrentSince Oct 4, 2023 Accepting new patients
Dermatology and Skin Health LLC CurrentSince Sep 15, 2024 Accepting new patients

Locations

125 Presumpscot St
Portland, ME 04103
Phone (207) 699-5531

519 US Route 1
Unit 2
York, ME 03909
Phone (207) 351-1266

784 Central Ave
Dover, NH 03820
Phone (603) 742-5556

15 Durham Rd
Ste 204
Dover, NH 03820

23 Hampton Rd
Exeter, NH 03833
Phone (603) 772-4684

6 Tsienneto Rd
Ste 204
Londonderry, NH 03038
Phone (603) 421-2156

50 Michels Way
Unit 202
Londonderry, NH 03053
Phone (603) 742-5556

2299 Woodbury Ave
Ste 3
Newington, NH 03801
Phone (603) 742-5556

1976 White Mountain Hwy
North Conway, NH 03860
Phone (603) 342-5050

302 Innovation Dr
Ste 400
Franklin, TN 37067

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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": "1641254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1003577792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 BOSTON HARBOR RD",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038204605",
            "telephone_number": "603-498-1554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "784 CENTRAL AVE",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038202549",
            "telephone_number": "603-742-5556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACMILLAN",
        "first_name": "LINDSEY",
        "middle_name": "KAYE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-04",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "082840-23",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NH",
            "license": "082840-21",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NH",
            "license": "082840-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, NH

Sources for this page

Verify at the official NPI Registry.