Mark Lawrence, APRN
Individual provider Active NPI Family Nurse Practitioner · Lee, NH
NPI 1154005502 · NPPES record last updated Jun 14, 2023
Key facts
- NPI
- 1154005502
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 082794-23 (NH)
- Practice address
- 65 Calef Hwy Ste 200
Lee, NH 03861-6703 - Phone
- (603) 868-3300
- NPI assigned
- Jun 14, 2023
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Wentworth Douglass Physician Corporation
Practice addresses (Care Compare)
65 Calef Hwy
Suite 200
Lee, NH 03861-6703
Phone (603) 868-3300
Hospital & facility affiliations
- Wentworth Home Care & Hospice, an Amedisys Partner
- Cornerstone Vna
- Wentworth-Douglass Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230724003343 | NH | Practitioner - Nurse Practitioner | 3577923432 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 082794-23 | NH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wentworth Douglass Physician Corporation | Current |
Accepting new patients | |
| Wentworth Douglass Physician Corporation | Current |
Accepting new patients | |
| Wentworth Douglass Physician Corporation | Current | Accepting new patients | |
| Westchester Neurological Consultant PC | Past | Accepting new patients |
Locations
8 Century Pines Dr
Ste 2
Barrington, NH 03825
Phone (603) 664-2135
789 Central Ave
Dover, NH 03820
Phone (603) 740-2832
36 Madbury Rd
Durham, NH 03824
Phone (603) 659-0901
65 Calef Hwy
Ste 200
Lee, NH 03861
Phone (603) 868-3300
150 Marketplace Blvd
Unit 9
Rochester, NH 03867
Phone (603) 516-4212
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 082794-23 | NH | Yes |
Addresses
Primary practice location
65 Calef Hwy Ste 200
Lee, NH 03861-6703
Mailing address
3 Broad St
Rochester, NH 03867-3409
Phone (603) 969-3509
Other providers in Lee, NH
- Cathy Ann Jackson
- Pam Jaeger
- Michael R Jordan
- Robert O. Kelley
- Emilie E Landry
- Stephanie Ann Lehman
- Eva Leigh Lizer
- Joshua Madelung
- Paige Marston
- Maxi Drug North Inc
All providers in Lee, NH · Family Nurse Practitioner in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.