NPIMap

Individual provider Active NPI

Michael R Chicoine, PA

  • Physician Assistant
  • Laconia, NH
National Provider Identifier
1083158455
Registry record updated Jul 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1361 Issued in NH
Practice address
80 Highland St
Laconia, NH 03246-3235
Phone
(603) 527-2819
Fax
(603) 527-2984
NPI assigned
Dec 5, 2016
Last updated
Jul 26, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA5940 MA
Physician Assistant 363A00000X 1361 NH Primary

Addresses

Primary practice location

80 Highland St
Laconia, NH 03246-3235

Mailing address

PO Box 1327
Laconia, NH 03247-1327
Phone (603) 934-2060

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
I20180816001393 NH Practitioner - Physician Assistant 1850640350 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Huggins HospitalGroup PAC ID 4880504927, 27 clinicians

Practice addresses (Care Compare)

240 S Main St
Wolfeboro, NH 03894-4411

240 So Main St
Wolfeboro, NH 03894
Phone (603) 515-2093

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
65.17 of 100Reported as group
Quality
47.69
Improvement activities
40
Cost
79.8

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1361NHMDPhysical Therapist
PA5940MAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Hospital-Franklin CurrentSince Jul 17, 2018 Accepting new patients
Huggins Hospital Current Accepting new patients
Huggins Hospital CurrentSince Aug 15, 2024 Accepting new patients
Concord Hospital-Laconia CurrentSince May 1, 2021 Accepting new patients
Huggins Hospital Past Accepting new patients

Locations

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

80 Highland St
Laconia, NH 03246
Phone (603) 527-7100

238 Daniel Webster Hwy
Meredith, NH 03253
Phone (603) 279-7464

240 S Main St
Wolfeboro, NH 03894
Phone (603) 515-2093

240 S Main St
Ste H
Wolfeboro, NH 03894
Phone (603) 569-7690

Interoperability endpoints

  • Direct secure messaging: michaelchicoine@huggins.medalliesdirect.net

Organizations & group practices 6

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 3

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": "1480896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532563200000",
    "number": "1083158455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1327",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "032471327",
            "telephone_number": "603-934-2060",
            "fax_number": "603-527-7038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 HIGHLAND ST",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "032463235",
            "telephone_number": "603-527-2819",
            "fax_number": "603-527-2984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHICOINE",
        "first_name": "MICHAEL",
        "middle_name": "R",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-12-05",
        "last_updated": "2018-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA5940",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NH",
            "license": "1361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laconia, NH

Sources for this page

Verify at the official NPI Registry.