Elizabeth Ann Falicon, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · New London, NH
NPI 1104246727 · NPPES record last updated Apr 22, 2014
Key facts
- NPI
- 1104246727
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 06303223 (NH)
- Practice address
- 276 Newport Rd
Suite 107
New London, NH 03257-5468 - Phone
- (603) 526-4144
- NPI assigned
- Apr 22, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 12
Owned or controlled facilities with NPI records 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Life Long Care of New London PLLC
Practice addresses (Care Compare)
276 Newport Rd
Suite 107
New London, NH 03257-5468
Phone (603) 526-4144
Hospital & facility affiliations
- Lake Sunapee Home Care & Hospice
- New London Hospital
- Mary Hitchcock Memorial Hospital
- Alice Peck Day Memorial Hospital
- Valley Regional Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
All facility ownership & control disclosures 2
| Facility | Type | Role | Since |
|---|---|---|---|
| Lake Sunapee Region Vna & Hospice |
Home health agency | Corporate Director | Mar 1, 2023 |
| Lake Sunapee Regional Vna and Hospice |
Hospice | Corporate Director | Mar 1, 2023 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140717000041 | NH | Practitioner - Nurse Practitioner | 3577789106 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06303223 | NH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Life Long Care of New London PLLC | Family | Current |
Accepting new patients |
Locations
276 Newport Rd
Ste 107
New London, NH 03257
Phone (603) 344-1819
Interoperability endpoints
- https://api.platform.athenahealth.com/23658/brand/1/csg/1/fhir/r4
- elizabeth.falicon.1@23658.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 06303223 | NH | Yes |
Addresses
Primary practice location
276 Newport Rd
Suite 107
New London, NH 03257-5468
Mailing address
276 Newport Rd
Suite 107
New London, NH 03257-5468
Phone (603) 526-4144
Other providers in New London, NH
- Donald Eberly
- Suzanne Elkind
- Kristie O. Ennis
- Erin Foley, Ms, Mladc
- James Bernard Esposito
- Andrea Ferland
- First Colony Corp
- Erin Foley
- Amanda Jane Fortin
- Elizabeth Ann Foy
All providers in New London, NH · Family Nurse Practitioner in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 22, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.