Individual provider Active NPI

Jessica Gluek Pluta, FNP

  • Family Nurse Practitioner
  • Windham, NH
National Provider Identifier
1043818099
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
073817-23 Issued in NH
Practice address
125 Indian Rock Rd
Windham, NH 03087-2008
Phone
(603) 890-6330
NPI assigned
Oct 13, 2020
Last updated
Jun 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2023

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 073817-23 NH Primary

Addresses

Primary practice location

125 Indian Rock Rd
Windham, NH 03087-2008

Mailing address

PO Box 986523
Boston, MA 02298-6523
Phone (603) 410-6700

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
I20230117001049 NH Practitioner - Nurse Practitioner 3173994886 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Clearchoicemd, PLLCGroup PAC ID 1850510058, 85 clinicians
Alliance Urgent Care Services LLCGroup PAC ID 6305181215, 25 clinicians

Practice addresses (Care Compare)

127 Plaistow Rd
Suite 1
Plaistow, NH 03865-2811
Phone (603) 797-9289

7 Cinemagic Way
Hooksett, NH 03106-1088
Phone (603) 526-4635

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
073817-23NHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Urgent Care Services, LLC CurrentSince Jun 6, 2023 Accepting new patients
Convenientmd - FFS UC LLC CurrentSince Aug 1, 2023 Accepting new patients
Convenientmd - FFS UC LLC CurrentSince Aug 1, 2023 Accepting new patients
Clearchoicemd, PLLC CurrentSince Jun 6, 2023 Accepting new patients
Convenientmd - FFS UC LLC Current Accepting new patients
Clearchoicemd, PLLC CurrentSince Jun 6, 2023 Accepting new patients
Clearchoicemd Primary Care PLLC Past Accepting new patients
Convenientmd - FFS UC LLC PastSince Aug 1, 2023 Accepting new patients

Locations

3 Nashua Rd
Bedford, NH 03110
Phone (603) 472-6700

558 Mast Rd
Goffstown, NH 03045
Phone (603) 232-1790

7 Cinemagic Way
Hooksett, NH 03106
Phone (603) 782-5112

410 Miracle Mile
Lebanon, NH 03766
Phone (603) 276-3260

300 Main St
Nashua, NH 03060
Phone (603) 579-5445

127 Plaistow Rd
Ste 1
Plaistow, NH 03865
Phone (603) 797-9289

111 New Hampshire Ave
Portsmouth, NH 03801

360 US Highway 1 Byp
Unit 102
Portsmouth, NH 03801
Phone (603) 410-6700

125 Indian Rock Rd
Windham, NH 03087
Phone (603) 890-6330

Organizations & group practices 8

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1602547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1043818099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 986523",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022986523",
            "telephone_number": "603-410-6700",
            "fax_number": "603-319-8308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 INDIAN ROCK RD",
            "city": "WINDHAM",
            "state": "NH",
            "postal_code": "030872008",
            "telephone_number": "603-890-6330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLUTA",
        "first_name": "JESSICA",
        "middle_name": "GLUEK",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-13",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "073817-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windham, NH

Sources for this page

Verify at the official NPI Registry.