Jill Ann Bickford – Adult Health Nurse Practitioner

Key facts

NPI: 1114793791
Entity type: Individual (NPI type 1)
Primary specialty: Adult Health Nurse Practitioner 363LA2200X
License: 051935-23 (NH)
Practice address: 215 Commerce Way Ste 100
Portsmouth, NH 03801-3244
Phone: (603) 441-1075
Fax: (603) 294-1090
NPI assigned: Nov 27, 2023
Sex: Female
Sole proprietor: Yes

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.

Optima Dermatology LLC Dermatology Physician · Boardman, OH · NPI 1831187764

Medicare reassignment Care Compare group NPD NH
Advanced Dermatology and Skin Cancer Center Clinical Medical Laboratory · Boardman, OH · NPI 1497912893

NPD (past)

Medicare Care Compare profile

Specialty: Nurse Practitioner
Education: Other, 2023
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Optima Dermatology LLC (74 clinicians)

Practice addresses (Care Compare)

215 Commerce Way
Suite 100
Portsmouth, NH 03801-3244
Phone (603) 441-1075

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

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20250416002329	NH	Practitioner - Nurse Practitioner	2062937691	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Nurse Practitioner

State licenses

License	State	Type	Specialty
051935-23	NH	MD	Adult Health Nurse Practitioner

Practice roles

Organization	Specialty	Status	New patients
Optima Dermatology LLC		Current since Apr 1, 2025	Accepting new patients
Advanced Dermatology and Skin Cancer Center		Past since Dec 1, 2023	Accepting new patients

Locations

1 Hampton Rd
Ste A306
Exeter, NH 03833
Phone (603) 294-4635

111 New Hampshire Ave
Ste 2
Portsmouth, NH 03801
Phone (603) 319-4490

215 Commerce Way
Ste 100
Portsmouth, NH 03801
Phone (603) 433-0056

23 Portsmouth Ave
Stratham, NH 03885
Phone (603) 942-2171

987 Boardman Canfield Rd
Youngstown, OH 44512
Phone (330) 271-8589

Interoperability endpoints

Direct secure messaging: jbickford.rn@optima.emadirect.md

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Adult Health Nurse Practitioner	363LA2200X	051935-23	NH	Yes

Addresses

Primary practice location

215 Commerce Way Ste 100
Portsmouth, NH 03801-3244

Mailing address

111 New Hampshire Ave Ste 2
Portsmouth, NH 03801-2864
Phone (330) 947-6021

Other practice location 1

23 Portsmouth Ave
Stratham, NH 03885-2520
Phone (603) 942-2171

Other providers in Portsmouth, NH

All providers in Portsmouth, NH · Adult Health 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 8, 2025. 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.
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.

Verify at the official NPI Registry.