Active NPI
Krista Marie Michelin, MD
- Cardiovascular Disease Physician
- Portsmouth, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 16349
- Practice address
- 333 Borthwick Ave
Suite 401
Portsmouth, NH 03801-7128 - Phone
- (603) 433-5300
- NPI assigned
- Jun 25, 2007
- Last updated
- Oct 23, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Cardiovascular Disease Physician | 207RC0000X | 16349 | NH | Primary |
Addresses
Primary practice location
333 Borthwick Ave
Suite 401
Portsmouth, NH 03801-7128
Mailing address
333 Borthwick Ave Ste 401
Lahey Cardiology Portsmouth
Portsmouth, NH 03801-7128
Phone (603) 433-5300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH, ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Geisel School of Medicine at Dartmouth, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15 Hospital Dr
York, ME 03909-1011
Phone (207) 363-4321
2 Trask Way
Steven P Braff MD
Amherst, NH 03031-2148
Phone (480) 306-6949
333 Borthwick Ave
Suite 401
Portsmouth, NH 03801-7128
Phone (603) 431-6691
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 65.17 of 100
- Quality
- 47.69
- Improvement activities
- 40
- Cost
- 79.8
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.93 of 100
- Quality
- 83.31
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.36 of 100
- Quality
- 75.71
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| York Hospital | Current | Accepting new patients | |
| Simonmed Imaging Florida LLC | Current | Accepting new patients |
Locations
225 W State Road 434
Ste 104
Longwood, FL 32750
Phone (407) 304-1000
15 Hospital Dr
York, ME 03909
Phone (207) 351-2478
333 Borthwick Ave
Ste 401
Portsmouth, NH 03801
Phone (603) 431-5858
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- krista.michelin@yh.eclinicaldirectplus.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Simonmed Imaging Tampa
- Diagnostic Radiology Physician
- Tampa, FL
- NPI 1477830818
NH
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Portsmouth Regional Hospital
- General Acute Care Hospital
- Portsmouth, NH
- NPI 1518913607
-
- General Acute Care Hospital
- Dover, NH
- NPI 1033118104
-
- General Acute Care Hospital
- York, ME
- NPI 1376528398
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1382486400000",
"number": "1245436377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 BORTHWICK AVE STE 401",
"address_2": "LAHEY CARDIOLOGY PORTSMOUTH",
"city": "PORTSMOUTH",
"state": "NH",
"postal_code": "038017128",
"telephone_number": "603-433-5300",
"fax_number": "603-433-0838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 BORTHWICK AVE",
"address_2": "SUITE 401",
"city": "PORTSMOUTH",
"state": "NH",
"postal_code": "038017128",
"telephone_number": "603-433-5300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHELIN",
"first_name": "KRISTA",
"middle_name": "MARIE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-25",
"last_updated": "2013-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NH",
"license": "16349",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portsmouth, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.