Individual provider Active NPI

Jennifer Sara Szelog, FNP-C

  • Family Nurse Practitioner
  • Concord, NH
National Provider Identifier
1083310056
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
079546-23 Issued in NH
Practice address
250 Pleasant St
Concord, NH 03301-7559
Phone
(603) 622-6484
Fax
(603) 647-8593
NPI assigned
Feb 1, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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 079546-23 NH Primary

Addresses

Primary practice location

250 Pleasant St
Concord, NH 03301-7559

Mailing address

11 Kimball Dr Unit 125
Hooksett, NH 03106-2623
Phone (603) 622-6484

Other practice location 1

1 Elliot Way
Manchester, NH 03103-3599
Phone (603) 622-6484

Other names 1

  • Jennifer Sara Freitas Former name

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
I20230421001695 NH Practitioner - Nurse Practitioner 4183089386 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

11 Kimball Dr
Unit 125
Hooksett, NH 03106-1072

11 Kimball Dr Unit
Suite 125
Hooksett, NH 03106-2623

PO Box
Phoenix, AZ 85072

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
079546-23NHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
WJG Multispecialty Clinic PC Nurse Practitioner CurrentSince Sep 8, 2025 Accepting new patients
New Hampshire Oncology-Hematology PA CurrentSince Feb 14, 2023 Accepting new patients

Locations

301 Riverway Pl
Ste 30
Bedford, NH 03110
Phone (603) 519-9801

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

194 Pleasant St
Ste 7
Concord, NH 03301
Phone (603) 208-3085

11 Kimball Dr
Unit 125
Hooksett, NH 03106
Phone (603) 314-6879

1 Elliot Way
Manchester, NH 03103
Phone (603) 663-2271

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1675209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1083310056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 KIMBALL DR UNIT 125",
            "city": "HOOKSETT",
            "state": "NH",
            "postal_code": "031062623",
            "telephone_number": "603-622-6484",
            "fax_number": "603-647-8593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 PLEASANT ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033017559",
            "telephone_number": "603-622-6484",
            "fax_number": "603-647-8593"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Elliot Way",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "NH",
            "postal_code": "031033599",
            "country_code": "US",
            "telephone_number": "603-622-6484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SZELOG",
        "first_name": "JENNIFER",
        "middle_name": "SARA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-01",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "079546-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "FREITAS",
            "middle_name": "SARA",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Concord, NH

Sources for this page

Verify at the official NPI Registry.