NPIMap

Individual provider Active NPI

Shelby Anne Menard

  • Nurse Practitioner
  • Somersworth, NH
National Provider Identifier
1184376592
Registry record updated Mar 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
077115-23 Issued in NH
Practice address
21 Clark Way
Somersworth, NH 03878-4401
Phone
(603) 692-2228
Fax
(603) 692-0418
NPI assigned
Jan 26, 2022
Last updated
Mar 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 077115-23 NH Primary

Addresses

Primary practice location

21 Clark Way
Somersworth, NH 03878-4401

Mailing address

14 Walnut Farm Rd
Newton, NH 03858-4015

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
I20220315000971 NH Practitioner - Nurse Practitioner 6709271547 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Atlantic Digestive Specialists PLLCGroup PAC ID 0941198329, 17 clinicians

Practice addresses (Care Compare)

21 Clark Way
Somersworth, NH 03878-4401
Phone (603) 692-2228

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Digestive Specialists, PLLC CurrentSince Apr 4, 2022 Accepting new patients

Locations

330 Borthwick Ave
Ste 300
Portsmouth, NH 03801
Phone (603) 433-4666

21 Clark Way
Somersworth, NH 03878
Phone (603) 692-2228

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72809
  • Direct secure messaging: shelbymenard@atlanticdigestive.directbygreenway.com

Organizations & group practices 1

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": "1643155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646611200000",
    "number": "1184376592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 WALNUT FARM RD",
            "city": "NEWTON",
            "state": "NH",
            "postal_code": "038584015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 CLARK WAY",
            "city": "SOMERSWORTH",
            "state": "NH",
            "postal_code": "038784401",
            "telephone_number": "603-692-2228",
            "fax_number": "603-692-0418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENARD",
        "first_name": "SHELBY",
        "middle_name": "ANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-26",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NH",
            "license": "077115-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somersworth, NH

Sources for this page

Verify at the official NPI Registry.