Individual provider Active NPI

Scott M Evans, PA-C

  • Physician Assistant
  • Nashua, NH
National Provider Identifier
1104851302
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0338 Issued in NH
Practice address
17 Riverside St
Ste 101
Nashua, NH 03062-1304
Phone
(603) 883-0091
Fax
(603) 881-3739
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

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 0338 NH Primary

Addresses

Primary practice location

17 Riverside St
Ste 101
Nashua, NH 03062-1304

Mailing address

17 Riverside St Ste 101
Nashua, NH 03062-1383
Phone (603) 883-0091

Other practice location 1

207 Stage Rd
Hampstead, NH 03841-2224
Phone (603) 329-5222

Other practice location 2

35 Kosciuszko St
Manchester, NH 03101-1608
Phone (603) 627-8053

Other identifiers 7

IdentifierTypeStateIssuer
1861558645OtherNHNPI, PROVIDER LOCATION
1881772242OtherNHNPI, PROVIDER LOCATION
1922164797OtherNHNPI, PROVIDER LOCATION
1932256914OtherNHNPI, PROVIDER LOCATION
1801952692OtherNHNPI, PROVIDER LOCATION
1841320207OtherNHNPI, PROVIDER LOCATION
30330718MedicaidNH

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
I20080805000039 NH Practitioner - Physician Assistant 3779657036 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Expressmed, LLCGroup PAC ID 6305090622, 3 clinicians
Greater Hampstead Family Medicine IncGroup PAC ID 4284734351, 30 clinicians

Practice addresses (Care Compare)

1 Highlander Way
Manchester, NH 03103-7403

1 Highlander Way
Suite 2
Manchester, NH 03103-7404
Phone (603) 625-2622

103 Boulder Point Dr
Plymouth, NH 03264-3168
Phone (603) 224-3368

17 Riverside St
Suite 101
Nashua, NH 03062-1383
Phone (603) 883-0091

207 Stage Rd
Hampstead, NH 03841-2224
Phone 6033295222216

35 Kosciuszko St
Manchester, NH 03101-1608
Phone (603) 627-8053

9 Washington PL
Suite 101
Bedford, NH 03110-6750
Phone (603) 883-0091

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75.37 of 100Reported as group
Quality
56.5
Promoting interoperability
86
Improvement activities
40
Cost
73.05

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Orthopaedic Alliance PLLC Orthopaedic Surgery CurrentSince Mar 1, 2024 Accepting new patients
Expressmed, LLC CurrentSince Jun 13, 2024 Accepting new patients

Locations

9 Washington Pl
Ste 101
Bedford, NH 03110
Phone (603) 669-5454

41 Buttrick Rd
Unit 2
Londonderry, NH 03053

175 Rockingham Rd
Londonderry, NH 03038

1 Highlander Way
Ste 2
Manchester, NH 03103
Phone (603) 625-2622

1 Highlander Way
Manchester, NH 03103
Phone (603) 625-2622

35 Kosciuszko St
Manchester, NH 03101
Phone (603) 627-8053

17 Riverside St
Ste 101
Nashua, NH 03062
Phone (603) 689-1690

103 Boulder Point Dr
Plymouth, NH 03264
Phone (603) 536-1284

Interoperability endpoints

  • Direct secure messaging: scott.evans@4199.securemail.prognocis.com
  • Direct secure messaging: scott.evans.p1@direct.nhoc.nextgenshare.com

Organizations & group practices 4

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 1

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760572800000",
    "number": "1104851302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 RIVERSIDE ST STE 101",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030621383",
            "telephone_number": "603-883-0091",
            "fax_number": "603-881-3739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 RIVERSIDE ST",
            "address_2": "STE 101",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030621304",
            "telephone_number": "603-883-0091",
            "fax_number": "603-881-3739"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "207 Stage Rd",
            "address_purpose": "LOCATION",
            "city": "Hampstead",
            "state": "NH",
            "postal_code": "038412224",
            "country_code": "US",
            "telephone_number": "603-329-5222",
            "fax_number": "603-782-5123",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "35 Kosciuszko St",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "NH",
            "postal_code": "031011608",
            "country_code": "US",
            "telephone_number": "603-627-8053",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANS",
        "first_name": "SCOTT",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NH",
            "license": "0338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI, PROVIDER LOCATION",
            "identifier": "1861558645",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI, PROVIDER LOCATION",
            "identifier": "1881772242",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI, PROVIDER LOCATION",
            "identifier": "1922164797",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI, PROVIDER LOCATION",
            "identifier": "1932256914",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI, PROVIDER LOCATION",
            "identifier": "1801952692",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI, PROVIDER LOCATION",
            "identifier": "1841320207",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30330718",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

Verify at the official NPI Registry.