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Individual provider Active NPI

Tina M Winters, FNP-BC

  • Family Nurse Practitioner
  • Bristol, NH
National Provider Identifier
1093363194
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
052631-23 Issued in NH
Practice address
100 Robie Road
Bristol, NH 03222
Phone
(603) 744-6200
Fax
(603) 536-4001
NPI assigned
Sep 1, 2019
Last updated
Jun 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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 052631-23 NH Primary

Addresses

Primary practice location

100 Robie Road
Bristol, NH 03222

Mailing address

101 Boulder Point Dr Ste 1
Plymouth, NH 03264-3170
Phone (603) 536-4000

Other practice location 1

8 Loudon Rd
Concord, NH 03301-5300
Phone (603) 226-9000

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
I20191021000882 NH Practitioner - Nurse Practitioner 6709117989 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid-State Health CenterGroup PAC ID 1951363563, 32 clinicians

Practice addresses (Care Compare)

101 Boulder Point Dr
Suite 1
Plymouth, NH 03264-3170
Phone 60353640001004

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-State Health Center CurrentSince Mar 7, 2022 Accepting new patients
Convenientmd - FFS UC LLC CurrentSince Aug 1, 2023 Accepting new patients
Convenientmd - FFS UC LLC CurrentSince Aug 1, 2023 Accepting new patients
Mid-State Health Center Current Accepting new patients
Convenientmd - FFS UC LLC Current Accepting new patients
Mid-State Health Center CurrentSince Mar 7, 2022 Accepting new patients
Mid-State Health Center Past Accepting new patients
Clearchoicemd Primary Care PLLC Past Accepting new patients

Locations

100 Robie Rd
Alexandria, NH 03222
Phone (603) 744-6200

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

8 Loudon Rd
Concord, NH 03301
Phone (603) 226-9000

101 Boulder Point Dr
Ste 1
Plymouth, NH 03264
Phone (603) 238-3537

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

Organizations & group practices 8

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 8

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": "1567296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1093363194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 BOULDER POINT DR STE 1",
            "city": "PLYMOUTH",
            "state": "NH",
            "postal_code": "032643170",
            "telephone_number": "603-536-4000",
            "fax_number": "603-536-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ROBIE ROAD",
            "city": "BRISTOL",
            "state": "NH",
            "postal_code": "03222",
            "telephone_number": "603-744-6200",
            "fax_number": "603-536-4001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8 Loudon Rd",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NH",
            "postal_code": "033015300",
            "country_code": "US",
            "telephone_number": "603-226-9000",
            "fax_number": "603-226-2268",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WINTERS",
        "first_name": "TINA",
        "middle_name": "M",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-01",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "052631-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, NH

Sources for this page

Verify at the official NPI Registry.