Individual provider Active NPI

Nicole Corrine Poitras, MSN, APRN

  • Family Nurse Practitioner
  • Goffstown, NH
National Provider Identifier
1104276757
Registry record updated Jun 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
046532-23 Issued in NH
Practice address
89 S Mast St
#6
Goffstown, NH 03045-6102
Phone
(603) 497-5661
NPI assigned
Jun 14, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2016

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 046532-23 NH Primary

Addresses

Primary practice location

89 S Mast St
#6
Goffstown, NH 03045-6102

Mailing address

47 Litchfield Rd
Londonderry, NH 03053-2624
Phone (603) 845-7718

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
I20160812000551 NH Practitioner - Nurse Practitioner 6901190099 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elliot Physicians NetworkGroup PAC ID 6406743988, 78 clinicians

Practice addresses (Care Compare)

275 Mammoth Rd
Manchester, NH 03109-4133

5 Industrial Dr
Windham, NH 03087-2021

Hospital & facility affiliations

  • Elliot Hospital Hospital, Manchester, NH, CCN 300012
  • Parkland Medical Center Hospital, Derry, NH, CCN 300017
  • Southern NH Medical Center Hospital, Nashua, NH, CCN 300020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
046532-23NHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Elliot Physicians Network CurrentSince Aug 31, 2016 Accepting new patients
Elliot Physicians Network Past Accepting new patients

Locations

25 S River Rd
Bedford, NH 03110
Phone (603) 626-4392

25 Leavey Dr
Bedford, NH 03110
Phone (603) 472-7233

89 S Mast St
Ste 6
Goffstown, NH 03045
Phone (603) 497-5661

275 Mammoth Rd
Ste 1
Manchester, NH 03109
Phone (603) 663-3222

5 Industrial Dr
#B
Windham, NH 03087
Phone (603) 894-0063

Interoperability endpoints

  • Direct secure messaging: npoitras7600@direct.solutionhealth.org

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 3

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": "1465862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465862400000",
    "number": "1104276757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 LITCHFIELD RD",
            "city": "LONDONDERRY",
            "state": "NH",
            "postal_code": "030532624",
            "telephone_number": "603-845-7718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 S MAST ST",
            "address_2": "#6",
            "city": "GOFFSTOWN",
            "state": "NH",
            "postal_code": "030456102",
            "telephone_number": "603-497-5661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POITRAS",
        "first_name": "NICOLE",
        "middle_name": "CORRINE",
        "name_prefix": "Ms.",
        "credential": "MSN, APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-14",
        "last_updated": "2016-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "046532-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goffstown, NH

Sources for this page

Verify at the official NPI Registry.