Individual provider Active NPI

Maddison Ellen Rogers

  • Physician Assistant
  • Manchester, NH
National Provider Identifier
1083469506
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2948 Issued in NH
Practice address
1260 Elm St
Manchester, NH 03101-1354
Phone
(603) 314-1701
NPI assigned
Apr 18, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2948 NH Primary

Addresses

Primary practice location

1260 Elm St
Manchester, NH 03101-1354

Mailing address

250 Ceda Rd
Charlestown, NH 03603-4511

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
I20250303000264 NH Practitioner - Physician Assistant 1153842588 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Springfield Medical Care Systems Inc.Group PAC ID 9133157043, 52 clinicians

Practice addresses (Care Compare)

100 River St
Springfield, VT 05156-2930
Phone (802) 886-8900

250 Ceda Rd
Charlestown, NH 03603-4511
Phone (603) 826-5711

Hospital & facility affiliations

  • Bayada Home Health Care, Inc. Home health agency, Rutland, VT, CCN 477019
  • Vna at HCS Inc Home health agency, Keene, NH, CCN 307046
  • Springfield Hospital Hospital, Springfield, VT, CCN 471306
  • Valley Regional Hospital Hospital, Claremont, NH, CCN 301308
  • Cheshire Medical Center Hospital, Keene, NH, CCN 300019
  • Brattleboro Memorial Hospital Hospital, Brattleboro, VT, CCN 470011
  • Mary Hitchcock Memorial Hospital Hospital, Lebanon, NH, CCN 300003

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Springfield Medical Care Systems Inc CurrentSince Apr 28, 2025 Accepting new patients

Locations

250 Ceda Rd
Charlestown, NH 03603
Phone (603) 826-5711

Interoperability endpoints

  • Direct secure messaging: maddison.ouellette.1@24182.direct.athenahealth.com

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 11

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": "1713398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1083469506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 CEDA RD",
            "city": "CHARLESTOWN",
            "state": "NH",
            "postal_code": "036034511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 ELM ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031011354",
            "telephone_number": "603-314-1701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "MADDISON",
        "middle_name": "ELLEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-18",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NH",
            "license": "2948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

Verify at the official NPI Registry.