Individual provider Active NPI

Audrey Jelise Wehmeyer, PA-C

  • Physician Assistant
  • Ossipee, NH
National Provider Identifier
1154716843
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1519 Issued in NH
Practice address
3 Water Village Way
Ossipee, NH 03896
Phone
(603) 539-6996
Fax
(603) 539-5284
NPI assigned
Mar 31, 2015
Last updated
May 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1519 NH Primary

Addresses

Primary practice location

3 Water Village Way
Ossipee, NH 03896

Mailing address

3 Water Village Road
Ossipee, NH 03896
Phone (603) 539-6996

Other practice location 1

890 River Rd
Eugene, OR 97404-3233
Phone (541) 688-0674

Other practice location 2

240 S Main St
Wolfeboro, NH 03894-4411
Phone (603) 569-6500

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address ossipeefamilymed@gohnh.allscriptsdirect.net Direct
Direct Messaging Address ossipeefamilymed@gohnh.allscriptsdirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191024000542 NH Practitioner - Physician Assistant 0042522922 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saco River Medical Group, PCGroup PAC ID 7911817291, 11 clinicians

Practice addresses (Care Compare)

7 Greenwood Ave
Conway, NH 03818-6130
Phone (603) 447-3500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1519NHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Huggins Hospital CurrentSince Sep 4, 2019 Accepting new patients

Locations

3 Water Village Rd
Ossipee, NH 03864
Phone (603) 539-6996

240 S Main St
Wolfeboro, NH 03894
Phone (603) 515-2093

Interoperability endpoints

  • Direct secure messaging: audrey.wehmeyer.1@20740.direct.athenahealth.com
  • Direct secure messaging: ossipeefamilymed@gohnh.allscriptsdirect.net

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1427760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1154716843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 WATER VILLAGE ROAD",
            "city": "OSSIPEE",
            "state": "NH",
            "postal_code": "03896",
            "telephone_number": "603-539-6996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 WATER VILLAGE WAY",
            "city": "OSSIPEE",
            "state": "NH",
            "postal_code": "03896",
            "telephone_number": "603-539-6996",
            "fax_number": "603-539-5284"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "890 River Rd",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974043233",
            "country_code": "US",
            "telephone_number": "541-688-0674",
            "fax_number": "541-688-5378",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "240 S Main St",
            "address_purpose": "LOCATION",
            "city": "Wolfeboro",
            "state": "NH",
            "postal_code": "038944411",
            "country_code": "US",
            "telephone_number": "603-569-6500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEHMEYER",
        "first_name": "AUDREY",
        "middle_name": "JELISE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-31",
        "last_updated": "2021-05-12",
        "certification_date": "2021-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NH",
            "license": "1519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ossipeefamilymed@gohnh.allscriptsdirect.net",
            "affiliation": "N",
            "endpointDescription": "Direct messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Messaging",
            "address_1": "240 S Main St",
            "city": "Wolfeboro",
            "state": "NH",
            "country_code": "US",
            "postal_code": "038944411",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ossipeefamilymed@gohnh.allscriptsdirect.net",
            "affiliation": "N",
            "endpointDescription": "Direct messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Messaging",
            "address_1": "3 Water Village Way",
            "city": "Ossipee",
            "state": "NH",
            "country_code": "US",
            "postal_code": "03896",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ossipee, NH

Sources for this page

Verify at the official NPI Registry.