Individual provider Active NPI

Sabrina Bolianites, ARNP

  • Family Medicine Physician
  • Concord, NH
National Provider Identifier
1043790413
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
06847423 Issued in NH
Practice address
250 Pleasant St FL 2
Concord, NH 03301-7559
Phone
(603) 622-6484
Fax
(603) 647-8593
NPI assigned
Aug 15, 2018
Last updated
Jan 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 06847423 NH Primary

Addresses

Primary practice location

250 Pleasant St FL 2
Concord, NH 03301-7559

Mailing address

11 Kimball Dr Unit 125
Hooksett, NH 03106-2604
Phone (603) 622-6484

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
I20210811002788 NH Practitioner - Nurse Practitioner 5991041907 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elliot Professional ServicesGroup PAC ID 6103727920, 429 clinicians
New Hampshire Oncology-Hematology PAGroup PAC ID 0143290759, 14 clinicians

Practice addresses (Care Compare)

1 Elliot Way
Manchester, NH 03103-3502
Phone (603) 622-6484

250 Pleasant St
Concord, NH 03301-7559
Phone (603) 224-2556

One Elliot Way
100 Elliot Cardiovascular Consultants
Manchester, NH 03103-3502
Phone (603) 627-1669

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
06847423NHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elliot Professional Services CurrentSince Jan 20, 2023 Accepting new patients
New Hampshire Oncology-Hematology PA CurrentSince Sep 12, 2022 Accepting new patients
Community Care Health Network LLC CurrentSince Sep 1, 2024 Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

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

250 Pleasant St
Fl 2
Concord, NH 03301
Phone (603) 622-6484

11 Kimball Dr
Unit 125
Hooksett, NH 03106
Phone (603) 314-6879

200 Technology Dr
Hooksett, NH 03106
Phone (603) 622-6484

1 Elliot Way
Manchester, NH 03103
Phone (603) 663-2271

1 Tara Blvd
Ste 200
Nashua, NH 03062
Phone (603) 242-2296

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1534291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1043790413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 KIMBALL DR UNIT 125",
            "city": "HOOKSETT",
            "state": "NH",
            "postal_code": "031062604",
            "telephone_number": "603-622-6484",
            "fax_number": "603-647-8593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 PLEASANT ST FL 2",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033017559",
            "telephone_number": "603-622-6484",
            "fax_number": "603-647-8593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLIANITES",
        "first_name": "SABRINA",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-15",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "06847423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NH

Sources for this page

Verify at the official NPI Registry.