Active NPI
Cranmore Health Partners, LLC
- Multi-Specialty Clinic/Center
- Glen, NH
National Provider Identifier
1194364083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- CRANMORE HEALTH PARTNERS, LLC
- Practice address
- 15 US Rte 302
Unit 1
Glen, NH 03838-6300 - Phone
- (603) 730-5356
- NPI assigned
- Dec 26, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Kelly C Defeo, CRNA, FNP
- Title
- Partner
- Phone
- (603) 387-4523
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | Primary |
Addresses
Primary practice location
15 US Rte 302
Unit 1
Glen, NH 03838-6300
Mailing address
PO Box 125
Center Conway, NH 03813-0125
Phone (603) 387-4523
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200414001261 | NH | Part B Supplier - Clinic/Group Practice | 3971933029 |
Receives reassigned benefits from 8 practitioners Practice locations: Glen, NH |
National Provider Directory
National Provider DirectoryLocations
15 US Route 302
Unit 1
Glen, NH 03838
Phone (603) 730-5356
1857 White Mountain Hwy
North Conway, NH 03860
Phone (603) 387-4523
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1577318400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1744070400000",
"number": "1194364083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 125",
"city": "CENTER CONWAY",
"state": "NH",
"postal_code": "038130125",
"telephone_number": "603-387-4523",
"fax_number": "603-369-4658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 US RTE 302",
"address_2": "UNIT 1",
"city": "GLEN",
"state": "NH",
"postal_code": "038386300",
"telephone_number": "603-730-5356"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CRANMORE HEALTH PARTNERS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-12-26",
"last_updated": "2025-04-08",
"certification_date": "2025-04-01",
"status": "A",
"authorized_official_last_name": "DEFEO",
"authorized_official_first_name": "KELLY",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "603-387-4523",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "CRNA, FNP"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glen, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.