Individual provider Active NPI

Leisa L Maxwell, DO

  • Family Medicine Physician
  • Hudson, NH
National Provider Identifier
1154434462
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
15719 Issued in NH
Practice address
300 Derry Rd
Hudson, NH 03051-3023
Phone
(603) 886-3979
NPI assigned
Aug 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X T0649 ME
Family Medicine Physician 207Q00000X 2003 TN
Family Medicine Physician 207Q00000X 15719 NH Primary

Addresses

Primary practice location

300 Derry Rd
Hudson, NH 03051-3023

Mailing address

PO Box 3677
Nashua, NH 03061-3677
Phone (603) 577-7900

Other identifiers 3

IdentifierTypeStateIssuer
3077200MedicaidNH
432680399MedicaidME
1515513MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, MA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20121003000313 NH Practitioner - Family Practice 8527105808 Reassigns benefits to 2 organizations
I20240815001947 MA Practitioner - Family Practice 8527105808 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of New England, College of Osteo Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
RHG of New Hampshire PCGroup PAC ID 6002320702, 5 clinicians
Revere Medical of Massachusetts PCGroup PAC ID 0749715795, 113 clinicians

Practice addresses (Care Compare)

22 Keewaydin Dr
Salem, NH 03079-2839
Phone (978) 683-9177

60 E St
2200 Revere Medical Primary Care of Methuen
Methuen, MA 01844
Phone (978) 683-9177

Hospital & facility affiliations

  • Pathways Healthcare Home health agency, Westwood, MA, CCN 227569
  • Accentcare Home Health of Massachusetts Home health agency, Fall River, MA, CCN 227203
  • Holy Family Hospital Hospital, Methuen, MA, CCN 220080
  • Merrimack Health Lawrence Hospital Hospital, Lawrence, MA, CCN 220010
  • St Joseph Hospital Hospital, Nashua, NH, CCN 300011
  • Anna Jaques Hospital Hospital, Newburyport, MA, CCN 220029
  • Northeast Rehabilitation Hospital Inpatient rehabilitation facility, Salem, NH, CCN 303026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2003TNMDProfessional Counselor
T0649MEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc CurrentSince Aug 1, 2024 Accepting new patients
RHG of New Hampshire PC Family Medicine CurrentSince Jan 1, 2026 Accepting new patients
St Joseph Hospital of Nashua NH CurrentSince Sep 16, 2020 Accepting new patients
Revere Medical of Massachusetts, PC Family Medicine CurrentSince Dec 21, 2024 Accepting new patients
Steward Medical Group, Inc CurrentSince Aug 1, 2024 Accepting new patients
St Joseph Hospital of Nashua NH Family Medicine CurrentSince Sep 16, 2020 Accepting new patients

Locations

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

1 Pearl St
Ste 1000
Brockton, MA 02301
Phone (508) 897-6050

15 Payson Rd
Ste 3
Foxboro, MA 02035
Phone (508) 772-1438

62 Brown St
Ste 200
Haverhill, MA 01830
Phone (978) 478-5058

60 East St
Ste 2200
Methuen, MA 01844
Phone (978) 683-9177

9 Galen St
Ste 155
Watertown, MA 02472
Phone (857) 304-2444

208 Robinson Rd
Hudson, NH 03051
Phone (603) 577-3410

172 Kinsley St
Nashua, NH 03060
Phone (603) 595-3926

22 Keewaydin Dr
Salem, NH 03079
Phone (603) 685-6977

Interoperability endpoints

  • Direct secure messaging: leisa.maxwell.1@32866.direct.athenahealth.com

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 8

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": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1154434462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3677",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030613677",
            "telephone_number": "603-577-7900",
            "fax_number": "603-577-7972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 DERRY RD",
            "city": "HUDSON",
            "state": "NH",
            "postal_code": "030513023",
            "telephone_number": "603-886-3979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "LEISA",
        "middle_name": "L",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "T0649",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "2003",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "15719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3077200",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "432680399",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1515513",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, NH

Sources for this page

Verify at the official NPI Registry.