Nicole Nelson, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0404 Issued in NH

Practice address

246 Pleasant St
Suite 205
Concord, NH 03301-2548

Phone

(603) 224-0584

Fax

(603) 225-5769

NPI assigned

Jun 9, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Physician Assistant

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Incare LLCGroup PAC ID 1153658851, 62 clinicians

Incare Tufts PLLCGroup PAC ID 3072013192, 49 clinicians

Apogee Medical Group New Hampshire PCGroup PAC ID 4688021983, 26 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Joseph Hospital Hospital, Nashua, NH, CCN 300011
• Southern NH Medical Center Hospital, Nashua, NH, CCN 300020
• Lahey Hospital & Medical Center, Burlington Hospital, Burlington, MA, CCN 220171
• Catholic Medical Center Hospital, Manchester, NH, CCN 300034

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nnelson1154158@direct.bsmhealth.org

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.

• Incare Tufts PLLC

  • Internal Medicine Physician
  • North Andover, MA
  • NPI 1164305611

  NH

  Medicare reassignment Care Compare group NPD
• Apogee Medical Group New Hampshire PC

  • Internal Medicine Physician
  • Nashua, NH
  • NPI 1154102242
  Medicare reassignment Care Compare group
• Incare LLC

  • Internal Medicine Physician
  • North Andover, MA
  • NPI 1639655467

  NH

  Medicare reassignment Care Compare group
• Theoria Medical

  • Internal Medicine Physician
  • Novi, MI
  • NPI 1609362375

  NH, Physician Assistant

  Medicare reassignment NPD
• Convenientmd - FFS UC LLC

  • Urgent Care Clinic/Center
  • Nashua, NH
  • NPI 1851082291
  Medicare reassignment
• St Joseph Hospital of Nashua NH

  • General Acute Care Hospital
  • Nashua, NH
  • NPI 1093787384
  Medicare reassignment
• Complexcare Medical Group Northeast H PLLC

  • Internal Medicine Physician
  • Novi, MI
  • NPI 1811881063

  NH

  Medicare reassignment
• Maine Medical Services LLC

  • Hospitalist Physician
  • Ellsworth, ME
  • NPI 1053878371

  NH

  Medicare reassignment
• Nes Medical Services of New England Inc

  • Emergency Medicine Physician
  • Bangor, ME
  • NPI 1396401907

  NH

  Medicare reassignment
• Convenientmd - FFS UC LLC

  • Urgent Care Clinic/Center
  • Manchester, NH
  • NPI 1952092397
  NPD
• St Joseph Hospital of Nashua NH

  dba St Joseph Hospital Urgent Care

  • Urgent Care Clinic/Center
  • Milford, NH
  • NPI 1437758679
  NPD
• Convenientmd - FFS UC LLC

  • Urgent Care Clinic/Center
  • Sturbridge, MA
  • NPI 1386526192
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Southern NH Medical Center

  • General Acute Care Hospital
  • Nashua, NH
  • NPI 1245447994
  Care Compare affiliation Name & address match
• Manchester Health Services, LLC

  dba Catholic Medical Center

  • General Acute Care Hospital
  • Manchester, NH
  • NPI 1972340990
  Care Compare affiliation
• St Joseph Hospital of Nashua NH

  • General Acute Care Hospital
  • Nashua, NH
  • NPI 1093787384
  Care Compare affiliation
• St Joseph Hospital of Nashua NH

  dba St Joseph Hospital Urgent Care

  • Urgent Care Clinic/Center
  • Milford, NH
  • NPI 1437758679

  Hospital

  Care Compare affiliation
• Lahey Clinic Hospital, Inc.

  • General Acute Care Hospital
  • Burlington, MA
  • NPI 1558392563
  Care Compare affiliation

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1063453405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 PLEASANT ST",
            "address_2": "SUITE 205",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033012548",
            "telephone_number": "603-224-0584",
            "fax_number": "603-225-5769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 PLEASANT ST",
            "address_2": "SUITE 205",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033012548",
            "telephone_number": "603-224-0584",
            "fax_number": "603-225-5769"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Dobson Way",
            "address_purpose": "LOCATION",
            "city": "Merrimack",
            "state": "NH",
            "postal_code": "030544340",
            "country_code": "US",
            "telephone_number": "603-471-6069",
            "fax_number": "603-471-6068",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "49 Plaistow Rd",
            "address_purpose": "LOCATION",
            "city": "Plaistow",
            "state": "NH",
            "postal_code": "038652854",
            "country_code": "US",
            "telephone_number": "603-371-3229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "NICOLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NH",
            "license": "0404",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NH",
            "license": "0404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Reetz Neal, M.D.
• Corina Neculai, ARNP
• Tara A. Nelligan, PA
• Angela L. Nelson, CNM
• Jane Nelson
• Richard S. Nelson, MD
• Tyrone Nelson
• Nancy Nemcovich, LADC
• Kelly Neol, ATC
• Blake Neri

• Physician Assistant in Concord, NH
• Providers in Concord, NH by specialty
• Physician Assistant in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.