Individual provider Active NPI

Eleana Marie Rogan, NP

  • Family Nurse Practitioner
  • Derry, NH
National Provider Identifier
1124211719
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
093522-23 Issued in NH
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

Updated by the provider on Sep 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
110015316AMedicaidMA
3133119MedicaidNH

Other names 1

  • Eleana Marie Conway Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 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
I20050622000175 MA Practitioner - Nurse Practitioner 0941245856 Reassigns benefits to 2 organizations
I20240809002211 NH Practitioner - Nurse Practitioner 0941245856 Reassigns benefits to 2 organizations

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 IncGroup PAC ID 2264336528, shared by 3 NPIs, 1,381 clinicians

Practice addresses (Care Compare)

29 Mall Rd
Burlington, MA 01805-0001

41 Mall Rd
Burlington, MA 01805-0001

Hospital & facility affiliations

  • Northeast Hospital Corporation Hospital, Beverly, MA, CCN 220033
  • Lahey Hospital & Medical Center, Burlington Hospital, Burlington, MA, CCN 220171
  • Winchester Hospital Hospital, Winchester, MA, CCN 220105

Merit-based Incentive Payment System (MIPS)

Final score
91.98 of 100Reported as apm
Quality
76.59
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
86.36 of 100Reported as apm
Quality
85.92
Promoting interoperability
78
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
215808MAMDSocial Worker
093522-23NHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lahey Clinic, Inc. CurrentSince Jun 2, 2024 Accepting new patients
Core Physicians LLC CurrentSince Sep 9, 2024 Accepting new patients
Core Physicians, LLC CurrentSince Sep 9, 2024 Accepting new patients
Lahey Clinic, Inc CurrentSince Jan 20, 2012 Accepting new patients
Lahey Clinic, Inc. CurrentSince Jan 20, 2012 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

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: 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.

Hospital & facility affiliations 4

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

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

Verify at the official NPI Registry.