Individual provider Active NPI

Kerry Nolte, APRN

  • Nurse Practitioner
  • Portsmouth, NH
National Provider Identifier
1194956912
Registry record updated Jul 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
056435-23 Issued in NH
Practice address
8 Greenleaf Woods Dr
Portsmouth, NH 03801-5454
Phone
(603) 422-8208
Fax
(603) 422-8218
NPI assigned
Jul 28, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2023

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 056435-23 NH Primary

Addresses

Primary practice location

8 Greenleaf Woods Dr
Portsmouth, NH 03801-5454

Mailing address

311 Route 108
Somersworth, NH 03878-1522
Phone (603) 422-8208

Other practice location 1

326 Rochester Hill Rd
Rochester, NH 03867-1700
Phone (603) 948-1230

Other names 1

  • Kerry Hasselbrack Former name

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
I20090928000073 NH Practitioner - Nurse Practitioner 7416003884 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Seacoast Community Health CurrentSince Oct 15, 2020 Accepting new patients
Greater Seacoast Community Health Current Accepting new patients
Greater Seacoast Community Health CurrentSince Aug 28, 2009 Accepting new patients
Hope on Haven Hill, Inc PastSince Mar 5, 2023 Accepting new patients

Locations

100 Campus Dr
Ste 12
Portsmouth, NH 03801
Phone (603) 422-8208

8 Greenleaf Woods Dr
Portsmouth, NH 03801
Phone (603) 422-8208

311 Route 108
Somersworth, NH 03878
Phone (603) 422-8208

Interoperability endpoints

  • Direct secure messaging: kerry.nolte.1@28518.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1248739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1194956912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 ROUTE 108",
            "city": "SOMERSWORTH",
            "state": "NH",
            "postal_code": "038781522",
            "telephone_number": "603-422-8208",
            "fax_number": "603-422-8218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 GREENLEAF WOODS DR",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038015454",
            "telephone_number": "603-422-8208",
            "fax_number": "603-422-8218"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "326 Rochester Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NH",
            "postal_code": "038671700",
            "country_code": "US",
            "telephone_number": "603-948-1230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOLTE",
        "first_name": "KERRY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-28",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NH",
            "license": "056435-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KERRY",
            "last_name": "HASSELBRACK",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Portsmouth, NH

Sources for this page

Verify at the official NPI Registry.