Individual provider Active NPI

Erin Angelina Cullen, RN

  • Acute Care Nurse Practitioner
  • Rochester, NH
National Provider Identifier
1114560810
Registry record updated Mar 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
059331-23 Issued in NH
Practice address
11 Whitehall Rd
Rochester, NH 03867-3297
Phone
(603) 335-3211
NPI assigned
Oct 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 059331-21 NH
Acute Care Nurse Practitioner 363LA2100X 059331-23 NH Primary

Addresses

Primary practice location

11 Whitehall Rd
Rochester, NH 03867-3297

Mailing address

11 Whitehall Rd
Rochester, NH 03867-3297
Phone (603) 335-3211

Other practice location 1

789 Central Ave
Dover, NH 03820-2526
Phone (603) 740-2503

Other identifiers 1

IdentifierTypeStateIssuer
3120937MedicaidNH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address e.cullen@fmhospital.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, ME2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200227001803 NH Practitioner - Nurse Practitioner 2466889621 Reassigns benefits to 1 organization
I20211104002374 ME Practitioner - Nurse Practitioner 2466889621 Reassigns benefits to 1 organization

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
Cornerstone VnaGroup PAC ID 4981619988, 3 clinicians

Practice addresses (Care Compare)

178 Farmington Rd
Rochester, NH 03867-4352
Phone (603) 332-1133

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
059331-21NHMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Vna CurrentSince Mar 24, 2022 Accepting new patients
York Hospital CurrentSince Nov 22, 2021 Accepting new patients
Cornerstone Vna CurrentSince Mar 24, 2022 Accepting new patients

Locations

15 Hospital Dr
York, ME 03909
Phone (207) 351-2478

333 Bothwick Ave
Portsmouth, NH 03801
Phone (603) 433-4907

178 Farmington Rd
Rochester, NH 03867
Phone (603) 332-1133

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1571961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647820800000",
    "number": "1114560810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 WHITEHALL RD",
            "city": "ROCHESTER",
            "state": "NH",
            "postal_code": "038673297",
            "telephone_number": "603-335-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 WHITEHALL RD",
            "city": "ROCHESTER",
            "state": "NH",
            "postal_code": "038673297",
            "telephone_number": "603-335-3211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "789 Central Ave",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "NH",
            "postal_code": "038202526",
            "country_code": "US",
            "telephone_number": "603-740-2503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CULLEN",
        "first_name": "ERIN",
        "middle_name": "ANGELINA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-25",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NH",
            "license": "059331-21",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NH",
            "license": "059331-23",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3120937",
            "state": "NH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "e.cullen@fmhospital.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "11 Whitehall Rd",
            "city": "Rochester",
            "state": "NH",
            "country_code": "US",
            "postal_code": "038673297",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester, NH

Sources for this page

Verify at the official NPI Registry.