Individual provider Active NPI

Denise Anne Hanley Gagnon, PA

  • Medical Physician Assistant
  • Dover, NH
National Provider Identifier
1184643975
Registry record updated Nov 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0113 Issued in NH
Practice address
701 Central Ave
Dover, NH 03820-3403
Phone
(603) 609-6700
NPI assigned
Jul 19, 2006
Last updated
Nov 16, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 0113 NH Primary

Addresses

Primary practice location

701 Central Ave
Dover, NH 03820-3403

Mailing address

250 Pleasant St
Concord, NH 03301-7539
Phone (603) 227-7000

Other practice location 1

250 Pleasant St
Concord, NH 03301-7539
Phone (603) 227-7000 ext. 3594

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
I20091204000028 NH Practitioner - Physician Assistant 6507905577 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Florida College of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

65 Calef Hwy
Lee, NH 03861-6703
Phone (603) 868-8507

701 Central Ave
Dover, NH 03820-3403
Phone (603) 609-6700

789 Central Ave
Dover, NH 03820-2526
Phone (603) 742-5252

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0113NHMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Seacoast Emergency Physicians PC CurrentSince Nov 3, 2014 Accepting new patients

Locations

701 Central Ave
Dover, NH 03820
Phone (603) 609-6700

789 Central Ave
Dover, NH 03820
Phone (603) 740-2832

65 Calef Hwy
Lee, NH 03861
Phone (603) 740-2250

Organizations & group practices 2

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 2

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542326400000",
    "number": "1184643975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 PLEASANT ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033017539",
            "telephone_number": "603-227-7000",
            "fax_number": "603-224-6527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 CENTRAL AVE",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038203403",
            "telephone_number": "603-609-6700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 Pleasant St",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NH",
            "postal_code": "033017539",
            "country_code": "US",
            "telephone_number": "603-227-7000 x3594",
            "fax_number": "603-224-6527",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAGNON",
        "first_name": "DENISE",
        "middle_name": "ANNE HANLEY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2018-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NH",
            "license": "0113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, NH

Sources for this page

Verify at the official NPI Registry.