Individual provider Active NPI

Melissa Kubicki, FNP-BC

  • Family Nurse Practitioner
  • Nashua, NH
National Provider Identifier
1164962098
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
052088-23 Issued in NH
Practice address
565 Amherst St
Nashua, NH 03063-1048
Phone
(603) 578-3347
Fax
(603) 578-3387
NPI assigned
Feb 25, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 052088-23 NH Primary

Addresses

Primary practice location

565 Amherst St
Nashua, NH 03063-1048

Mailing address

360 US Highway 1 Byp Unit 102
Portsmouth, NH 03801-7105
Phone (603) 410-6700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, ME, MA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20170417001197 NH Practitioner - Nurse Practitioner 6709162241 Reassigns benefits to 1 organization
I20191104000509 ME Practitioner - Nurse Practitioner 6709162241 Reassigns benefits to 1 organization
I20230428001400 MA Practitioner - Nurse Practitioner 6709162241 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lawrence General HospitalGroup PAC ID 5092725200, 124 clinicians
Convenientmd - FFS UC LLCGroup PAC ID 5193186492, shared by 3 NPIs, 397 clinicians

Practice addresses (Care Compare)

1 General St
Lawrence, MA 01841-2961
Phone 97868340002979

245 Hartford Ave
Bellingham, MA 02019-3007
Phone (774) 295-4355

565 Amherst St
Nashua, NH 03063-1048
Phone (603) 578-3347

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Convenientmd - FFS UC LLC CurrentSince Aug 1, 2023 Accepting new patients
Convenientmd - FFS UC LLC Current Accepting new patients
Convenientmd - FFS UC LLC CurrentSince Aug 1, 2023 Accepting new patients
Lawrence General Hospital CurrentSince Oct 29, 2025 Accepting new patients
Convenientmd - FFS UC LLC Current Accepting new patients
Lawrence General Hospital Current Accepting new patients
Convenientmd - FFS UC LLC Current Accepting new patients
General Primary Care of Lawrence CurrentSince Oct 29, 2025 Accepting new patients
Convenientmd - FFS UC LLC CurrentSince Aug 1, 2023 Accepting new patients
Convenientmd - FFS UC LLC CurrentSince Sep 30, 2023 Accepting new patients
Convenientmd LLC PastSince Jan 24, 2023 Accepting new patients

Locations

245 Hartford Ave
Bellingham, MA 02019
Phone (774) 295-4355

40 Davis Straits
Falmouth, MA 02540
Phone (774) 255-3010

140 Lincoln Ave
Haverhill, MA 01830
Phone (978) 374-2000

1 General St
Lawrence, MA 01841
Phone (978) 946-8103

70 East St
Methuen, MA 01844
Phone (978) 682-1906

35 Storey Ave
Newburyport, MA 01950
Phone (978) 225-6607

600 Center St
Auburn, ME 04210
Phone (207) 783-8951

193 Bath Rd
Brunswick, ME 04011
Phone (207) 424-2272

950 Main St
Westbrook, ME 04092
Phone (207) 517-3800

3 Nashua Rd
Bedford, NH 03110
Phone (603) 472-6700

2 Dobson Way
Merrimack, NH 03054
Phone (603) 471-6069

565 Amherst St
Nashua, NH 03063
Phone (603) 573-3477

111 New Hampshire Ave
Portsmouth, NH 03801

360 US Highway 1 Byp
Unit 102
Portsmouth, NH 03801
Phone (603) 410-6700

125 Indian Rock Rd
Windham, NH 03087
Phone (603) 890-6330

Organizations & group practices 12

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 1

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": "1487980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1164962098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 US HIGHWAY 1 BYP UNIT 102",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038017105",
            "telephone_number": "603-410-6700",
            "fax_number": "603-319-8308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 AMHERST ST",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030631048",
            "telephone_number": "603-578-3347",
            "fax_number": "603-578-3387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBICKI",
        "first_name": "MELISSA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-25",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "052088-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

Verify at the official NPI Registry.