Active NPI
Leisa L Maxwell, DO
- Family Medicine Physician
- Hudson, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 15719
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3077200 | Medicaid | NH | |
| 432680399 | Medicaid | ME | |
| 1515513 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
- Accentcare Home Health of Massachusetts
- Holy Family Hospital
- Merrimack Health Lawrence Hospital
- St Joseph Hospital
- Anna Jaques Hospital
- Northeast Rehabilitation Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2003 | TN | MD | Professional Counselor |
| T0649 | ME | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Steward Medical Group, Inc | Current | Accepting new patients | |
| RHG of New Hampshire PC | Family Medicine | Current | Accepting new patients |
| St Joseph Hospital of Nashua NH | Current | Accepting new patients | |
| Revere Medical of Massachusetts, PC | Family Medicine | Current | Accepting new patients |
| Steward Medical Group, Inc | Current | Accepting new patients | |
| St Joseph Hospital of Nashua NH | Family Medicine | Current | 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
- 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.
-
- Family Medicine Physician
- Salem, NH
- NPI 1003637257
-
- Internal Medicine Physician
- Brockton, MA
- NPI 1336976539
Family Medicine
-
- General Acute Care Hospital
- Nashua, NH
- NPI 1093787384
-
- Specialist
- Watertown, MA
- NPI 1629398219
-
- Urgent Care Clinic/Center
- Milford, NH
- NPI 1437758679
Family Medicine
-
- Specialist
- Brighton, MA
- NPI 1356654495
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital
- Salem, NH
- NPI 1255354288
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Nashua, NH
- NPI 1093787384
-
- Home Health Agency
- Westwood, MA
- NPI 1720391329
-
- General Acute Care Hospital
- Newburyport, MA
- NPI 1992779482
-
- General Acute Care Hospital
- Lawrence, MA
- NPI 1750381281
-
- General Acute Care Hospital
- Methuen, MA
- NPI 1265267991
-
- Home Health Agency
- Westwood, MA
- NPI 1740529668
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.