Mary Elaine Judd, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0192 P Issued in NH

Practice address

43 Main St
N Stratford, NH 03590-4005

Phone

(603) 922-5039

Fax

(603) 922-5502

NPI assigned

May 5, 2006

Last updated

Jan 4, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

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

Specialty

Physician Assistant

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Weeks Medical CenterGroup PAC ID 2769461284, 71 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• North Country Home Health & Hospice Agency Home health agency, Littleton, NH, CCN 307009
• Upper Connecticut Valley Hospital Hospital, Colebrook, NH, CCN 301300
• Weeks Medical Center Hospital, Lancaster, NH, CCN 301303
• Androscoggin Valley Hospital Hospital, Berlin, NH, CCN 301310

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mary.judd@ishc.directbygreenway.com

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.

• Weeks Medical Center

  • Rural Health Clinic/Center
  • Whitefield, NH
  • NPI 1508819566
  Medicare reassignment Care Compare group
• Weeks Medical Center

  • Rural Health Clinic/Center
  • Littleton, NH
  • NPI 1578155560
  NPD
• Androscoggin Valley Hospital Inc

  dba AVH Surgical Associates

  • General Practice Physician
  • Berlin, NH
  • NPI 1679526644
  NPD (past)
• Weeks Medical Center

  • Rural Health Clinic/Center
  • Groveton, NH
  • NPI 1205857372
  NPD (past)
• Beecher Falls Clinic LLC

  • Internal Medicine Physician
  • Beecher Falls, VT
  • NPI 1134398100
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Androscoggin Valley Hospital Inc

  dba AVH Surgical Associates

  • General Practice Physician
  • Berlin, NH
  • NPI 1679526644

  Hospital

  Care Compare affiliation
• Androscoggin Valley Hospital, Inc.

  • Critical Access Hospital
  • Berlin, NH
  • NPI 1386680593
  Care Compare affiliation
• North Country Home Health & Hospice Agency, Inc.

  • Home Health Agency
  • Littleton, NH
  • NPI 1275536575
  Care Compare affiliation
• Upper Connecticut Valley Hospital Association

  • Critical Access Hospital
  • Colebrook, NH
  • NPI 1861489437
  Care Compare affiliation
• Weeks Medical Center

  • Critical Access Hospital
  • Lancaster, NH
  • NPI 1265536718
  Care Compare affiliation

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1114975661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 MIDDLE ST",
            "city": "LANCASTER",
            "state": "NH",
            "postal_code": "035843508",
            "telephone_number": "603-788-5029",
            "fax_number": "603-788-5059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 MAIN ST",
            "city": "N STRATFORD",
            "state": "NH",
            "postal_code": "035904005",
            "telephone_number": "603-922-5039",
            "fax_number": "603-922-5502"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "47 Church St",
            "address_purpose": "LOCATION",
            "city": "Groveton",
            "state": "NH",
            "postal_code": "035824061",
            "country_code": "US",
            "telephone_number": "603-636-1101",
            "fax_number": "603-788-5059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUDD",
        "first_name": "MARY",
        "middle_name": "ELAINE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NH",
            "license": "0192 P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OAP1435",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF VT",
            "identifier": "00029222",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30005368",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP HEALTHPLANS",
            "identifier": "394376",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7626041",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (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.