Individual provider Active NPI

Michelle D Leclerc, APRN

  • Nurse Practitioner
  • Nashua, NH
National Provider Identifier
1124135637
Registry record updated Jan 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
049329-23 Issued in NH
Practice address
45 High St
Nashua, NH 03060-3312
Phone
(603) 821-7788
Fax
(603) 821-5620
NPI assigned
Aug 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 049329-23 NH Primary

Addresses

Primary practice location

45 High St
Nashua, NH 03060-3312

Mailing address

77 Northeastern Blvd Ste C
Nashua, NH 03062-3128
Phone (603) 882-3616

Other identifiers 2

IdentifierTypeStateIssuer
30344597MedicaidNH
3072423MedicaidNH

Other names 1

  • Michelle L Stanzler Former name

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
I20060203000415 NH Practitioner - Nurse Practitioner 3870507320 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
May accept Medicare assignment
Group practices
Harbor Homes, Inc.Group PAC ID 4587714779, 14 clinicians

Practice addresses (Care Compare)

45 High St
Nashua, NH 03060-3312
Phone (603) 821-7788

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
049329-23NHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Harbor Homes, Inc CurrentSince Dec 31, 2018 Accepting new patients
Dartmouth-Hitchcock Clinic CurrentSince May 1, 2015 Accepting new patients
Harbor Homes, Inc. CurrentSince Dec 31, 2018 Accepting new patients
Alliance Health Services CurrentSince Sep 18, 2017 Accepting new patients
Dartmouth-Hitchcock Clinic CurrentSince May 1, 2015 Accepting new patients
Elliot Physicians Network Past Accepting new patients
Harbor Homes, Inc. Past Accepting new patients

Locations

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

253 Pleasant St
Concord, NH 03301
Phone (603) 226-2200

1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922

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

45 High St
Nashua, NH 03060
Phone (603) 821-7788

77 Northeastern Blvd
Ste C
Nashua, NH 03062

77 Northeastern Blvd
Nashua, NH 03062
Phone (603) 882-3616

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546560000000",
    "number": "1124135637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 NORTHEASTERN BLVD STE C",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030623128",
            "telephone_number": "603-882-3616",
            "fax_number": "866-881-9106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 HIGH ST",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030603312",
            "telephone_number": "603-821-7788",
            "fax_number": "603-821-5620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LECLERC",
        "first_name": "MICHELLE",
        "middle_name": "D",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2019-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NH",
            "license": "049329-23",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30344597",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3072423",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "STANZLER",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Nashua, NH

Sources for this page

Verify at the official NPI Registry.