Individual provider Active NPI

Richard Renner, PA

  • Medical Physician Assistant
  • Somersworth, NH
National Provider Identifier
1184670101
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0075 Issued in NH
Practice address
255 Route 108
Somersworth, NH 03878-1543
Phone
(603) 692-4018
Fax
(603) 692-1083
NPI assigned
May 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA7 MA
Medical Physician Assistant 363AM0700X 0075 NH Primary

Addresses

Primary practice location

255 Route 108
Somersworth, NH 03878-1543

Mailing address

30 Beaver Brook Dr
Strafford, NH 03884-6803

Other practice location 1

1 Beehive Dr
Epping, NH 03042-3310
Phone (603) 734-9202

Other identifiers 2

IdentifierTypeStateIssuer
30003861MedicaidNH
110119639AMedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, MA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20050525000741 NH Practitioner - Physician Assistant 5799727145 Reassigns benefits to 1 organization
I20170131002617 MA Practitioner - Physician Assistant 5799727145 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nephealth Hudson PCGroup PAC ID 3274069067, 8 clinicians

Practice addresses (Care Compare)

3 Flagstone Dr
Unit a
Hudson, NH 03051-4905
Phone (603) 802-4050

Merit-based Incentive Payment System (MIPS)

Final score
88.75 of 100Reported as group
Quality
76.36
Promoting interoperability
100
Improvement activities
40
Cost
71.05

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0075NHMDPhysical Therapy Assistant
PA633MAMDMedical Physician Assistant
0075PNHMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Help Chelmsford PC CurrentSince Mar 5, 2018 Accepting new patients
Community Health Center of Cape Cod Inc CurrentSince Dec 14, 2016 Accepting new patients
Rcna1, PLLC CurrentSince Aug 25, 2018 Accepting new patients
Medical Affiliates of Cape Cod, Inc. CurrentSince Aug 1, 2017 Accepting new patients
Community Health Center of Cape Cod, Inc. CurrentSince Dec 14, 2016 Accepting new patients
Urgent Help Chelmsford PC CurrentSince Mar 5, 2018 Accepting new patients
Wentworth Douglass Physician Corporation Past Accepting new patients

Locations

485 Granite St
Braintree, MA 02184
Phone (781) 356-8477

45 Drum Hill Rd
Chelmsford, MA 01824
Phone (978) 446-7515

100 Ter Heun Dr
Falmouth, MA 02540
Phone (508) 457-3501

27 Park St
Hyannis, MA 02601
Phone (508) 775-5011

107 Commercial St
Mashpee, MA 02649
Phone (508) 539-6000

129 Turnpike St
North Andover, MA 01845
Phone (978) 470-0800

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1184670101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 BEAVER BROOK DR",
            "city": "STRAFFORD",
            "state": "NH",
            "postal_code": "038846803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 ROUTE 108",
            "city": "SOMERSWORTH",
            "state": "NH",
            "postal_code": "038781543",
            "telephone_number": "603-692-4018",
            "fax_number": "603-692-1083"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Beehive Dr",
            "address_purpose": "LOCATION",
            "city": "Epping",
            "state": "NH",
            "postal_code": "030423310",
            "country_code": "US",
            "telephone_number": "603-734-9202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RENNER",
        "first_name": "RICHARD",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MA",
            "license": "PA7",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NH",
            "license": "0075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30003861",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110119639A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somersworth, NH

Sources for this page

Verify at the official NPI Registry.