Individual provider Active NPI

Chong-Ae Donahue, MSN, APRN, NP-C

  • Family Nurse Practitioner
  • Nashua, NH
National Provider Identifier
1043794704
Registry record updated Oct 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
061386-23 Issued in NH
Practice address
460 Amherst St
Nashua, NH 03063-1220
Phone
(603) 883-7970
NPI assigned
Sep 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 061386-23 NH Primary

Addresses

Primary practice location

460 Amherst St
Nashua, NH 03063-1220

Mailing address

C/O St Mary'S Health System - Provider Enrollment
PO Box 7291
Lewiston, ME 04243-7291
Phone (207) 777-8695

Other identifiers 1

IdentifierTypeStateIssuer
3114299MedicaidNH

Other names 1

  • Ms. Chong-Ae Donahue Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, MA2 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
I20181025002077 NH Practitioner - Nurse Practitioner 4587917240 Reassigns benefits to 2 organizations
I20230411000145 MA Practitioner - Nurse Practitioner 4587917240 Reassigns benefits to 1 organization

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
Blueprint Healthcare LLCGroup PAC ID 1153665062, 11 clinicians

Practice addresses (Care Compare)

20 Plantation Dr
Jaffrey, NH 03452-6631
Phone (978) 480-1976

Hospital & facility affiliations

  • Monadnock Community Hospital Hospital, Peterborough, NH, CCN 301309

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

Practice roles

OrganizationSpecialtyStatusNew patients
State of New Hampshire CurrentSince Sep 25, 2020 Accepting new patients
Blueprint Healthcare LLC CurrentSince Jun 1, 2023 Accepting new patients
State of New Hampshire CurrentSince Sep 25, 2020 Accepting new patients

Locations

94 Summer St
Fitchburg, MA 01420
Phone (978) 343-3530

451 Andover St
Ste 205
North Andover, MA 01845
Phone (978) 983-2434

36 Clinton St
Concord, NH 03301
Phone (603) 271-5075

35 Pointe Pl
Dover, NH 03820
Phone (603) 842-4908

20 Plantation Dr
Jaffrey, NH 03452
Phone (603) 532-8762

191 Hackett Hill Rd
Manchester, NH 03102
Phone (603) 600-3255

Interoperability endpoints

  • Direct secure messaging: blueprinthealthcare.chong-aedonahue@159334.advancedmd-direct.com
  • FHIR API: https://api.platform.athenahealth.com/22118/brand/1/csg/1/fhir/r4

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": "1537315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571616000000",
    "number": "1043794704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "C/O ST MARY'S HEALTH SYSTEM - PROVIDER ENROLLMENT",
            "address_2": "PO BOX 7291",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042437291",
            "telephone_number": "207-777-8695",
            "fax_number": "207-777-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 AMHERST ST",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030631220",
            "telephone_number": "603-883-7970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONAHUE",
        "first_name": "CHONG-AE",
        "name_prefix": "Ms.",
        "credential": "MSN, APRN, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-19",
        "last_updated": "2019-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "061386-23",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3114299",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHONG-AE",
            "last_name": "DONAHUE",
            "prefix": "MS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Nashua, NH

Sources for this page

Verify at the official NPI Registry.