Individual provider Active NPI

Alisha Adams Powell, PA-C

  • Surgical Physician Assistant
  • Lebanon, NH
National Provider Identifier
1033360326
Registry record updated Oct 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
0677 Issued in NH
Practice address
One Medical Center Drive
Cardiac Surgery
Lebanon, NH 03756
Phone
(603) 650-7390
NPI assigned
Oct 5, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X C0003816 MD
Surgical Physician Assistant 363AS0400X 0677 NH Primary

Addresses

Primary practice location

One Medical Center Drive
Cardiac Surgery
Lebanon, NH 03756

Mailing address

One Medical Center Drive
Cardiac Surgery
Lebanon, NH 03756-0001
Phone (603) 650-7390

Other practice location 1

246 Pleasant St
Suite 103
Concord, NH 03301-2548
Phone (603) 224-1725

Other identifiers 1

IdentifierTypeStateIssuer
3071866MedicaidNH

Other names 1

  • Alisha Diane Adams Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20091116000343 NH Practitioner - Physician Assistant 7517005374 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Appledore Medical Group IncGroup PAC ID 5698666154, 197 clinicians

Practice addresses (Care Compare)

100 McGregor St
Manchester, NH 03102-3730
Phone (603) 665-5150

330 Borthwick Ave
Suite 308
Portsmouth, NH 03801-7112
Phone (603) 431-5242

Hospital & facility affiliations

  • Catholic Medical Center Hospital, Manchester, NH, CCN 300034

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0677NHMDSpeech-Language Pathologist
C0003816MDMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Hitchcock Memorial Hospital CurrentSince Nov 4, 2019 Accepting new patients
Dartmouth-Hitchcock Clinic CurrentSince Nov 4, 2019 Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince Nov 4, 2019 Accepting new patients
Appledore Medical Group, Inc CurrentSince Mar 2, 2025 Accepting new patients
Dartmouth-Hitchcock Clinic CurrentSince Nov 4, 2019 Accepting new patients

Locations

246 Pleasant St
Concord, NH 03301
Phone (603) 224-1223

250 Pleasant St
Concord, NH 03301
Phone (603) 225-2711

246 Pleasant St
Ste 103
Concord, NH 03301
Phone (603) 224-1725

1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922

100 McGregor St
Ste B600A
Manchester, NH 03102
Phone (603) 626-2340

330 Borthwick Ave
Ste 308
Portsmouth, NH 03801
Phone (603) 431-5242

330 Borthwick Ave
Ste 201
Portsmouth, NH 03801
Phone (603) 431-5242

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: alisha.powell@hca6.eclinicaldirectplus.com

Organizations & group practices 6

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 1

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": "1223164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571097600000",
    "number": "1033360326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE MEDICAL CENTER DRIVE",
            "address_2": "CARDIAC SURGERY",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037560001",
            "telephone_number": "603-650-7390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE MEDICAL CENTER DRIVE",
            "address_2": "CARDIAC SURGERY",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "03756",
            "telephone_number": "603-650-7390"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "246 Pleasant St",
            "address_2": "Suite 103",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NH",
            "postal_code": "033012548",
            "country_code": "US",
            "telephone_number": "603-224-1725",
            "fax_number": "603-227-7102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POWELL",
        "first_name": "ALISHA",
        "middle_name": "ADAMS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-05",
        "last_updated": "2019-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MD",
            "license": "C0003816",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NH",
            "license": "0677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3071866",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALISHA",
            "last_name": "ADAMS",
            "middle_name": "DIANE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lebanon, NH

Sources for this page

Verify at the official NPI Registry.