NPIMap

Individual provider Active NPI

Anne Meredith Thomassen, APRN,NP-C

  • Family Nurse Practitioner
  • Derry, NH
National Provider Identifier
1144534298
Registry record updated Oct 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
052024-23 Issued in NH
Practice address
6 Tsienneto Rd
Suite 300
Derry, NH 03038-1584
Phone
(603) 216-0400
Fax
(603) 216-3800
NPI assigned
Jul 31, 2010
Last updated
Oct 6, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 052024-23 NH Primary
Nurse Practitioner 363L00000X 052024-23 NH

Addresses

Primary practice location

6 Tsienneto Rd
Suite 300
Derry, NH 03038-1584

Mailing address

6 Tsienneto Rd
Suite 300
Derry, NH 03038-1584
Phone (603) 216-0400

Other identifiers 5

IdentifierTypeStateIssuer
30348459MedicaidNH
1144534298OtherNHANTHEM BCBS
110087843AMedicaidMA
P00874966OtherNHRAILROAD MEDICARE
1144534298MedicaidME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101112001156 NH Practitioner - Nurse Practitioner 2264627447 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern New Hampshire Internal Medicine Associates PCGroup PAC ID 9133111990, 16 clinicians

Practice addresses (Care Compare)

6 Tsienneto Rd
Suite 300
Derry, NH 03038-1584
Phone (603) 216-0400

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southern New Hampshire Internal Medicine Associates, PLLC CurrentSince Oct 6, 2014 Accepting new patients
Emergency Physicians of Derry PLLC Past Accepting new patients

Locations

6 Tsienneto Rd
Ste 300
Derry, NH 03038
Phone (603) 216-0479

Interoperability endpoints

  • Direct secure messaging: annethomassen@snhima.allscriptsdirect.net

Organizations & group practices 2

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.

Hospital & facility affiliations 6

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": "1280534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412553600000",
    "number": "1144534298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 TSIENNETO RD",
            "address_2": "SUITE 300",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "030381584",
            "telephone_number": "603-216-0400",
            "fax_number": "603-216-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 TSIENNETO RD",
            "address_2": "SUITE 300",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "030381584",
            "telephone_number": "603-216-0400",
            "fax_number": "603-216-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMASSEN",
        "first_name": "ANNE",
        "middle_name": "MEREDITH",
        "name_prefix": "Mrs.",
        "credential": "APRN,NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-31",
        "last_updated": "2014-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "052024-23",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NH",
            "license": "052024-23",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30348459",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "1144534298",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110087843A",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00874966",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1144534298",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Derry, NH

Sources for this page

Verify at the official NPI Registry.