Gayle M Spelman, PA-C
Individual provider Active NPI Physician Assistant · Lincoln, NH
NPI 1033316658 · NPPES record last updated Mar 13, 2024
Key facts
- NPI
- 1033316658
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 0214 (NH)
- Practice address
- 115 Main Street
Lincoln, NH 03251 - Phone
- (603) 745-8136
- NPI assigned
- Jun 28, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Yale University School of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Speare Health Ventures Inc
Practice addresses (Care Compare)
178 Daniel Webster Hwy
Suite a
Meredith, NH 03253-5664
Phone (603) 279-6064
Hospital & facility affiliations
- Speare Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110922000283 | NH | Practitioner - Physician Assistant | 5496926420 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0214 | NH | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rodney a Felgate MD | Past |
Accepting new patients | |
| The Lakes Region Mental Health Center, Inc. | Past |
Accepting new patients | |
| Healthfirst Family Care Center, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0214 | NH | Yes |
Addresses
Primary practice location
115 Main Street
Lincoln, NH 03251
Mailing address
39 Andrews Rd
Tilton, NH 03276-5212
Phone (603) 455-6948
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033316658 | Medicaid | NH |
Other providers in Lincoln, NH
- Caitlin Nelson
- Zach Preston
- Rite Aid of New Hampshire Inc
- Rodney a Felgate MD
- Courteney Simpson
- Garret K Taoka
- Jasmine Weeden
- Barrie Weisman
- White Mountain Physical Therapy LP
All providers in Lincoln, NH · Physician Assistant in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 13, 2024. 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.