Individual provider Active NPI

Elizabeth Marceau, FNP-BC

  • Family Nurse Practitioner
  • Belmont, NH
National Provider Identifier
1073206900
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
075845-23 Issued in NH
Practice address
77 Daniel Webster Hwy
Belmont, NH 03220-3028
Phone
(603) 737-0550
Fax
(603) 737-8331
NPI assigned
May 26, 2023
Last updated
Feb 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 075845-23 NH Primary
General Practice Registered Nurse 163WG0000X 075845-21 NH

Addresses

Primary practice location

77 Daniel Webster Hwy
Belmont, NH 03220-3028

Mailing address

360 US Highway 1 Byp Unit 102
Portsmouth, NH 03801-7105
Phone (603) 410-6700

Other practice location 1

137 Camp Waldron Rd
Meredith, NH 03253-4601
Phone (603) 630-6691

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
I20240315003255 NH Practitioner - Nurse Practitioner 1254777915 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Convenientmd - FFS UC LLCGroup PAC ID 5193186492, 397 clinicians

Practice addresses (Care Compare)

77 Daniel Webster Hwy
Belmont, NH 03220-3028
Phone (603) 737-0550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
075845-21NHMDGeneral Practice Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Convenientmd - FFS UC LLC CurrentSince Mar 1, 2024 Accepting new patients
Convenientmd - FFS UC LLC CurrentSince Mar 1, 2024 Accepting new patients
Convenientmd - FFS UC LLC Current Accepting new patients

Locations

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

77 Daniel Webster Hwy
Belmont, NH 03220
Phone (603) 737-0500

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1685059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1073206900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 US HIGHWAY 1 BYP UNIT 102",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038017105",
            "telephone_number": "603-410-6700",
            "fax_number": "603-319-8303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 DANIEL WEBSTER HWY",
            "city": "BELMONT",
            "state": "NH",
            "postal_code": "032203028",
            "telephone_number": "603-737-0550",
            "fax_number": "603-737-8331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "137 Camp Waldron Rd",
            "address_purpose": "LOCATION",
            "city": "Meredith",
            "state": "NH",
            "postal_code": "032534601",
            "country_code": "US",
            "telephone_number": "603-630-6691",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARCEAU",
        "first_name": "ELIZABETH",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-26",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "075845-23",
            "primary": true
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "NH",
            "license": "075845-21",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belmont, NH

Sources for this page

Verify at the official NPI Registry.