Active NPI
Eleana Marie Rogan, NP
- Family Nurse Practitioner
- Derry, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 093522-23
- Practice address
- 14A Tsienneto Road
Suite 200
Derry, NH 03038 - Phone
- (603) 404-6800
- Fax
- (603) 686-7244
- NPI assigned
- Aug 27, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 215808 | MA | |
| Family Nurse Practitioner | 363LF0000X | 093522-23 | NH | Primary |
Addresses
Primary practice location
14A Tsienneto Road
Suite 200
Derry, NH 03038
Mailing address
7 Holland Way FL 1
Exeter, NH 03833-2937
Phone (603) 580-6753
Other practice location 1
41 Mall Rd
Lahey Clinic
Burlington, MA 01805-0002
Phone (781) 744-8423
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110015316A | Medicaid | MA | |
| 3133119 | Medicaid | NH |
Other names 1
- Eleana Marie Conway
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Lahey Clinic Inc
Practice addresses (Care Compare)
29 Mall Rd
Burlington, MA 01805-0001
41 Mall Rd
Burlington, MA 01805-0001
Hospital & facility affiliations
- Northeast Hospital Corporation
- Lahey Hospital & Medical Center, Burlington
- Winchester Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.98 of 100
- Quality
- 76.59
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.36 of 100
- Quality
- 85.92
- Promoting interoperability
- 78
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 215808 | MA | MD | Social Worker |
| 093522-23 | NH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lahey Clinic, Inc. | Current | Accepting new patients | |
| Core Physicians LLC | Current | Accepting new patients | |
| Core Physicians, LLC | Current | Accepting new patients | |
| Lahey Clinic, Inc | Current | Accepting new patients | |
| Lahey Clinic, Inc. | Current | Accepting new patients | |
| Evans Medical Foundation, Inc. | Past | Accepting new patients |
Locations
41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400
16 Hayden Ave
Lexington, MA 02421
Phone (781) 372-7060
14A Tsienneto Rd
Derry, NH 03038
Phone (603) 537-1380
14A Tsienneto Rd
Ste 200
Derry, NH 03038
Phone (603) 404-6800
7 Holland Way
#1
Exeter, NH 03833
3 Alumni Dr
Ste 301
Exeter, NH 03833
Phone (603) 658-1180
6 Tsienneto Rd
Ste 101LL
Londonderry, NH 03038
Phone (603) 537-2060
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- econway11701@direct.bilh.masshiway.net
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Exeter, NH
- NPI 1336330588
-
- Internal Medicine Physician
- Derry, NH
- NPI 1669491601
-
- Internal Medicine Physician
- Peabody, MA
- NPI 1063447316
-
- Internal Medicine Physician
- Burlington, MA
- NPI 1538194980
-
- Durable Medical Equipment & Medical Supplies
- Raymond, NH
- NPI 1083085724
-
- Internal Medicine Physician
- Boston, MA
- NPI 1912954124
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Burlington, MA
- NPI 1558392563
-
- General Acute Care Hospital
- Beverly, MA
- NPI 1316917941
-
- Psychiatric Hospital Unit
- Beverly, MA
- NPI 1407827710
-
- General Acute Care Hospital
- Winchester, MA
- NPI 1790740777
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725840000000",
"number": "1124211719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 HOLLAND WAY FL 1",
"city": "EXETER",
"state": "NH",
"postal_code": "038332937",
"telephone_number": "603-580-6753",
"fax_number": "603-580-6840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14A TSIENNETO ROAD",
"address_2": "SUITE 200",
"city": "DERRY",
"state": "NH",
"postal_code": "03038",
"telephone_number": "603-404-6800",
"fax_number": "603-686-7244"
}
],
"practiceLocations": [
{
"address_1": "41 Mall Rd",
"address_2": "Lahey Clinic",
"address_purpose": "LOCATION",
"city": "Burlington",
"state": "MA",
"postal_code": "018050002",
"country_code": "US",
"telephone_number": "781-744-8423",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROGAN",
"first_name": "ELEANA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-27",
"last_updated": "2024-09-09",
"certification_date": "2024-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MA",
"license": "215808",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NH",
"license": "093522-23",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110015316A",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3133119",
"state": "NH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ELEANA",
"last_name": "CONWAY",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Derry, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; 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.