Individual provider Active NPI

Stephanie A Willey, NP

  • Nurse Practitioner
  • Concord, NH
National Provider Identifier
1225616634
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
059507-23 Issued in NH
Practice address
246 Pleasant St.
Memorial Building, West, Floor 1
Concord, NH 03301
Phone
(603) 224-3388
Fax
(603) 227-7536
NPI assigned
Mar 30, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 05950723 NH
Nurse Practitioner 363L00000X 059507-23 NH Primary

Addresses

Primary practice location

246 Pleasant St.
Memorial Building, West, Floor 1
Concord, NH 03301

Mailing address

246 Pleasant St.
Memorial Building, West, Floor 1
Concord, NH 03301
Phone (603) 224-3388

Other practice location 1

254 Pleasant St
Concord, NH 03301-2551
Phone (603) 622-8665

Other practice location 2

60 Commercial St.
Suite 404
Concord, NH 03301
Phone (603) 228-1763

Other practice location 3

246 Pleasant St.
Suite 210
Concord, NH 03301
Phone (603) 224-5200

Other practice location 4

60 Commercial St.
Suite 401
Concord, NH 03301
Phone (603) 789-9150

Other names 1

  • Stephanie A Belliveau Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address swilley@crhc.cernerdirect.com 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
I20210510002020 NH Practitioner - Nurse Practitioner 1557770245 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Concord Hospital IncGroup PAC ID 6103721790, 572 clinicians

Practice addresses (Care Compare)

246 Pleasant St
Concord, NH 03301-2548
Phone (603) 224-3388

Hospital & facility affiliations

  • Concord Hospital Hospital, Concord, NH, CCN 300001

Merit-based Incentive Payment System (MIPS)

Final score
89 of 100Reported as apm
Quality
73.23
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
05950723NHMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Hospital, Inc. CurrentSince Jul 1, 2022 Accepting new patients
Concord Hospital, Inc. Current Accepting new patients
Concord Hospital, Inc. CurrentSince Jul 1, 2022 Accepting new patients

Locations

246 Pleasant St
Concord, NH 03301
Phone (603) 224-1223

250 Pleasant St
Concord, NH 03301
Phone (603) 225-2711

246 Pleasant St
Bldg W
Concord, NH 03301
Phone (603) 224-3388

60 Commercial St
Ste 404
Concord, NH 03301
Phone (603) 228-1763

246 Pleasant St
Ste 210
Concord, NH 03301
Phone (603) 224-5200

280 Pleasant St
Ste 1
Concord, NH 03301
Phone (603) 226-9800

60 Commercial St
Ste 401
Concord, NH 03301
Phone (603) 228-7555

246 Pleasant St
Fl 1
Concord, NH 03301

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1617062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1225616634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 PLEASANT ST.",
            "address_2": "MEMORIAL BUILDING, WEST, FLOOR 1",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "03301",
            "telephone_number": "603-224-3388",
            "fax_number": "603-227-7536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 PLEASANT ST.",
            "address_2": "MEMORIAL BUILDING, WEST, FLOOR 1",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "03301",
            "telephone_number": "603-224-3388",
            "fax_number": "603-227-7536"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "254 Pleasant St",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NH",
            "postal_code": "033012551",
            "country_code": "US",
            "telephone_number": "603-622-8665",
            "fax_number": "833-413-4978",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "60 Commercial St.",
            "address_2": "Suite 404",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NH",
            "postal_code": "03301",
            "country_code": "US",
            "telephone_number": "603-228-1763",
            "fax_number": "603-227-7539",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "246 Pleasant St.",
            "address_2": "Suite 210",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NH",
            "postal_code": "03301",
            "country_code": "US",
            "telephone_number": "603-224-5200",
            "fax_number": "603-227-7559",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "60 Commercial St.",
            "address_2": "Suite 401",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NH",
            "postal_code": "03301",
            "country_code": "US",
            "telephone_number": "603-789-9150",
            "fax_number": "603-227-7592",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLEY",
        "first_name": "STEPHANIE",
        "middle_name": "A",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-30",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NH",
            "license": "05950723",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NH",
            "license": "059507-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "swilley@crhc.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Concord Hospital Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "246 Pleasant St.",
            "address_2": "Memorial Building, West, Floor 1",
            "city": "Concord",
            "state": "NH",
            "country_code": "US",
            "postal_code": "03301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "BELLIVEAU",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Concord, NH

Sources for this page

Verify at the official NPI Registry.