NPIMap

Individual provider Active NPI

Jennifer Pelli Packard, M.D.

  • Internal Medicine Physician
  • Bedford, NH
National Provider Identifier
1154457455
Registry record updated Oct 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
14972 Issued in NH
Practice address
188 Route 101
Bedford, NH 03110-5420
Phone
(603) 663-8052
Fax
(603) 663-8056
NPI assigned
Feb 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 14972 NH
Internal Medicine Physician 207R00000X 14972 NH Primary

Addresses

Primary practice location

188 Route 101
Bedford, NH 03110-5420

Mailing address

188 Route 101
Bedford, NH 03110-5420
Phone (603) 663-8052

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address staff_fhwc@gohnh.allscriptsdirect.net

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
I20101113000144 NH Practitioner - Internal MedicinePractitioner - Pediatric Medicine 3072708270 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Appledore Medical Group IncGroup PAC ID 5698666154, 197 clinicians

Practice addresses (Care Compare)

188 Route 101
Bedford, NH 03110-5451
Phone (603) 663-8052

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Medical Center CurrentSince Oct 9, 2012 Accepting new patients
CMC D/B/a Urgent Care at Bedford Medical Park CurrentSince Oct 9, 2012 Accepting new patients
Catholic Medical Center Internal Medicine Current Accepting new patients
Catholic Medical Center Internal Medicine CurrentSince Nov 23, 2020 Accepting new patients
Appledore Medical Group, Inc Internal Medicine CurrentSince Feb 1, 2025 Accepting new patients
Appledore Medical Group, Inc. Past Accepting new patients

Locations

5 Washington Pl
Ste 1A
Bedford, NH 03110
Phone (603) 663-8060

188 State Route 101
Bedford, NH 03110
Phone (603) 314-4700

195 McGregor St
Ste 310
Manchester, NH 03102

775 S Main St
Manchester, NH 03102
Phone (603) 625-6198

330 Borthwick Ave
Ste 107
Portsmouth, NH 03801
Phone (603) 433-8434

330 Borthwick Ave
Ste 308
Portsmouth, NH 03801
Phone (603) 431-5242

330 Borthwick Ave
Ste 201
Portsmouth, NH 03801
Phone (603) 431-5242

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: jennifer.packard@hca6.eclinicaldirectplus.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

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": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604016000000",
    "number": "1154457455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 ROUTE 101",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031105420",
            "telephone_number": "603-663-8052",
            "fax_number": "603-663-8056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 ROUTE 101",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031105420",
            "telephone_number": "603-663-8052",
            "fax_number": "603-663-8056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACKARD",
        "first_name": "JENNIFER",
        "middle_name": "PELLI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NH",
            "license": "14972",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NH",
            "license": "14972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "staff_fhwc@gohnh.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "188 Route 101",
            "city": "Bedford",
            "state": "NH",
            "country_code": "US",
            "postal_code": "031105420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bedford, NH

Sources for this page

Verify at the official NPI Registry.