NPIMap

Individual provider Active NPI

Elizabeth Ann Falicon, FNP-BC

  • Family Nurse Practitioner
  • New London, NH
National Provider Identifier
1104246727
Registry record updated Apr 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
06303223 Issued in NH
Practice address
276 Newport Rd
Suite 107
New London, NH 03257-5468
Phone
(603) 526-4144
NPI assigned
Apr 22, 2014
Last updated
Apr 22, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2014

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 06303223 NH Primary

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

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
I20140717000041 NH Practitioner - Nurse Practitioner 3577789106 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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 PLLCGroup PAC ID 5395789440, 5 clinicians

Practice addresses (Care Compare)

276 Newport Rd
Suite 107
New London, NH 03257-5468
Phone (603) 526-4144

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
06303223NHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Life Long Care of New London PLLC Family CurrentSince Apr 22, 2014 Accepting new patients

Locations

276 Newport Rd
Ste 107
New London, NH 03257
Phone (603) 344-1819

Interoperability endpoints

  • Direct secure messaging: elizabeth.falicon.1@23658.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/23658/brand/1/csg/1/fhir/r4

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Lake Sunapee Region Vna & HospiceNew London, NH, CCN 307040 Home health agency Corporate Director Mar 1, 2023
Lake Sunapee Regional Vna and HospiceNew London, NH, CCN 301509 Hospice Corporate Director Mar 1, 2023

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 1

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 12

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": "1398124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398124800000",
    "number": "1104246727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "276 NEWPORT RD",
            "address_2": "SUITE 107",
            "city": "NEW LONDON",
            "state": "NH",
            "postal_code": "032575468",
            "telephone_number": "603-526-4144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "276 NEWPORT RD",
            "address_2": "SUITE 107",
            "city": "NEW LONDON",
            "state": "NH",
            "postal_code": "032575468",
            "telephone_number": "603-526-4144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALICON",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-22",
        "last_updated": "2014-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "06303223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New London, NH

Sources for this page

Verify at the official NPI Registry.