Individual provider Active NPI

Jennifer Anne Tedcastle, PA-C

  • Medical Physician Assistant
  • Alton, NH
National Provider Identifier
1225294531
Registry record updated Apr 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0527 Issued in NH
Practice address
27 New Durham Rd
Alton, NH 03809-4917
Phone
(603) 875-6151
Fax
(603) 875-6152
NPI assigned
Aug 6, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2021

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 0527 NH Primary

Addresses

Primary practice location

27 New Durham Rd
Alton, NH 03809-4917

Mailing address

27 New Durham Rd
Alton, NH 03809-4917
Phone (603) 875-6151

Other identifiers 1

IdentifierTypeStateIssuer
3079252MedicaidNH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address altonfamilymed@gohnh.allscriptsdirect.net Direct

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
I20081101000130 NH Practitioner - Physician Assistant 7911066279 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
65.17 of 100Reported as group
Quality
47.69
Improvement activities
40
Cost
79.8

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0527NHMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Huggins Hospital CurrentSince Oct 18, 2012 Accepting new patients
Huggins Hospital Current Accepting new patients
Catholic Medical Center Current Accepting new patients
Huggins Hospital Past Accepting new patients

Locations

27 New Durham Rd
Alton, NH 03809
Phone (603) 875-6151

131 Meadow St
Sanbornville, NH 03872
Phone (603) 522-5010

240 S Main St
Ste C
Wolfeboro, NH 03894
Phone (603) 569-7620

240 S Main St
Wolfeboro, NH 03894
Phone (603) 515-2093

Interoperability endpoints

  • Direct secure messaging: jennifertedcastle@huggins.medalliesdirect.net
  • Direct secure messaging: jennifertedcastle@gohnh.allscriptsdirect.net
  • Direct secure messaging: altonfamilymed@gohnh.allscriptsdirect.net

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": "1217980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618531200000",
    "number": "1225294531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 NEW DURHAM RD",
            "city": "ALTON",
            "state": "NH",
            "postal_code": "038094917",
            "telephone_number": "603-875-6151",
            "fax_number": "603-875-6152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 NEW DURHAM RD",
            "city": "ALTON",
            "state": "NH",
            "postal_code": "038094917",
            "telephone_number": "603-875-6151",
            "fax_number": "603-875-6152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEDCASTLE",
        "first_name": "JENNIFER",
        "middle_name": "ANNE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-06",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NH",
            "license": "0527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3079252",
            "state": "NH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "altonfamilymed@gohnh.allscriptsdirect.net",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Messaging",
            "address_1": "27 New Durham Rd",
            "city": "Alton",
            "state": "NH",
            "country_code": "US",
            "postal_code": "038094917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Alton, NH

Sources for this page

Verify at the official NPI Registry.