Individual provider Active NPI

Carly A Marquis Henson, APRN

  • Adult Health Nurse Practitioner
  • Concord, NH
National Provider Identifier
1124308523
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
073463-23 Issued in NH
Practice address
250 Pleasant St
Concord, NH 03301-7539
Phone
(603) 225-0123
Fax
(603) 227-7591
NPI assigned
Aug 17, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 28185426A IN
Adult Health Nurse Practitioner 363LA2200X 073463-23 NH Primary
Nurse Practitioner 363L00000X 4704309057 MI

Addresses

Primary practice location

250 Pleasant St
Concord, NH 03301-7539

Mailing address

250 Pleasant St
Concord, NH 03301-7559
Phone (603) 225-0123

Other practice location 1

15 Antrim Rd
Hillsboro, NH 03244-5250
Phone (603) 464-3434

Other names 1

  • Carly Marquis 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
I20161021001745 NH Practitioner - Nurse Practitioner 7214108091 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Concord Hospital IncGroup PAC ID 6103721790, 572 clinicians

Practice addresses (Care Compare)

246 Pleasant St
Concord, NH 03301-2548
Phone (603) 228-7200

Hospital & facility affiliations

  • Granite Vna, Inc Home health agency, Concord, NH, CCN 307000
  • Concord Hospital Hospital, Concord, NH, CCN 300001

Merit-based Incentive Payment System (MIPS)

Final score
89 of 100Reported as apm
Quality
73.23
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28185426AINMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Hospital, Inc. Current Accepting new patients
Concord Hospital, Inc. CurrentSince Sep 6, 2016 Accepting new patients
Concord Hospital, Inc. CurrentSince Sep 6, 2016 Accepting new patients

Locations

246 Pleasant St
Concord, NH 03301
Phone (603) 224-1223

250 Pleasant St
Concord, NH 03301
Phone (603) 225-2711

246 Pleasant St
Bldg W
Concord, NH 03301
Phone (603) 224-3388

250 Pleasant St
Ofc
Concord, NH 03301

10 West St
Concord, NH 03301
Phone (603) 225-0123

15 Antrim Rd
Hillsboro, NH 03244
Phone (603) 464-3434

Organizations & group practices 3

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 2

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": "1313539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684195200000",
    "number": "1124308523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 PLEASANT ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033017559",
            "telephone_number": "603-225-0123",
            "fax_number": "603-227-7591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 PLEASANT ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033017539",
            "telephone_number": "603-225-0123",
            "fax_number": "603-227-7591"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 Antrim Rd",
            "address_purpose": "LOCATION",
            "city": "Hillsboro",
            "state": "NH",
            "postal_code": "032445250",
            "country_code": "US",
            "telephone_number": "603-464-3434",
            "fax_number": "603-227-7567",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARQUIS HENSON",
        "first_name": "CARLY",
        "middle_name": "A",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-17",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IN",
            "license": "28185426A",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NH",
            "license": "073463-23",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704309057",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLY",
            "last_name": "MARQUIS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Concord, NH

Sources for this page

Verify at the official NPI Registry.