NPIMap

Individual provider Active NPI

Jeremy Boegel Werth, MD

  • Family Medicine Physician
  • Warner, NH
National Provider Identifier
1063824043
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
18350 Issued in NH
Practice address
2 E Main St Unit 2
Warner, NH 03278-4421
Phone
(603) 456-6106
Fax
(603) 456-6176
NPI assigned
May 27, 2014
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 18350 NH
Family Medicine Physician 207Q00000X 18350 NH Primary

Addresses

Primary practice location

2 E Main St Unit 2
Warner, NH 03278-4421

Mailing address

2 E Main St Unit 2
Warner, NH 03278-4421
Phone (603) 456-6106

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170906002551 NH Practitioner - Family PracticePractitioner - Hospitalist 8123247640 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospitalist
Education
Eastern Virginia Medical School, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Concord Hospital IncGroup PAC ID 6103721790, 572 clinicians

Practice addresses (Care Compare)

2 E Main St
Unit 2
Warner, NH 03278-4421
Phone (603) 456-6106

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89 of 100Reported as apm
Quality
73.23
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
18350NHMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Hospital, Inc. CurrentSince Jul 17, 2017 Accepting new patients
Concord Hospital, Inc. Current Accepting new patients
Concord Hospital, Inc. CurrentSince Jul 17, 2017 Accepting new patients

Locations

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

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

250 Pleasant St
Ofc
Concord, NH 03301

2 E Main St
#2
Warner, NH 03278
Phone (603) 456-6106

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 6

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": "1401148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1063824043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 E MAIN ST UNIT 2",
            "city": "WARNER",
            "state": "NH",
            "postal_code": "032784421",
            "telephone_number": "603-456-6106",
            "fax_number": "603-456-6176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 E MAIN ST UNIT 2",
            "city": "WARNER",
            "state": "NH",
            "postal_code": "032784421",
            "telephone_number": "603-456-6106",
            "fax_number": "603-456-6176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERTH",
        "first_name": "JEREMY",
        "middle_name": "BOEGEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-27",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NH",
            "license": "18350",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "18350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner, NH

Sources for this page

Verify at the official NPI Registry.