Active NPI
Maureen Cullen, NP
- Nurse Practitioner
- Hanover, NH
National Provider Identifier
1134215486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5270821
- Practice address
- 7 Rope Ferry Rd
#6143
Hanover, NH 03755-1404 - Phone
- (603) 646-9400
- Fax
- (603) 646-9450
- NPI assigned
- Oct 5, 2006
- Last updated
- Aug 18, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5270821 | NH | Primary |
Addresses
Primary practice location
7 Rope Ferry Rd
#6143
Hanover, NH 03755-1404
Mailing address
7 Rope Ferry Rd
#6143
Hanover, NH 03755-1404
Phone (603) 646-9400
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 23YP05362NH01 | Other | ANTHEM ID - NHC | |
| 06463647 | Other | TRICARE | |
| H06749 | Other | HARVARD PILGRIM | |
| 9315957 | Other | PHCS ID | |
| 795912 | Other | MVP ID | |
| 30342730 | Medicaid | NH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5270821 | NH | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trustess of Dartmouth College | Past | Accepting new patients | |
| The New London Hospital Association, Inc. | Past | Accepting new patients | |
| The New London Hospital Association, Inc. | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba d/b/a New London Hospital EMS
- Ambulance
- New London, NH
- NPI 1639610611
-
- Critical Access Hospital
- New London, NH
- NPI 1831200583
-
dba Dartmouth College Health Services
- Student Health Clinic/Center
- Hanover, NH
- NPI 1205271574
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313625600000",
"number": "1134215486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 ROPE FERRY RD",
"address_2": "#6143",
"city": "HANOVER",
"state": "NH",
"postal_code": "037551404",
"telephone_number": "603-646-9400",
"fax_number": "603-646-9450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 ROPE FERRY RD",
"address_2": "#6143",
"city": "HANOVER",
"state": "NH",
"postal_code": "037551404",
"telephone_number": "603-646-9400",
"fax_number": "603-646-9450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CULLEN",
"first_name": "MAUREEN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-05",
"last_updated": "2011-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NH",
"license": "5270821",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM ID - NHC",
"identifier": "23YP05362NH01",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "06463647",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "H06749",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS ID",
"identifier": "9315957",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP ID",
"identifier": "795912",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30342730",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hanover, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.