Meghan Elizabeth Petzy, MSN, FNP-BC, ENP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

06447323 Issued in NH

Practice address

789 Central Ave
Dover, NH 03820-2526

Phone

(603) 742-5252

NPI assigned

May 18, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Meghan Elizabeth Daigle Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MA, NH2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

May accept Medicare assignment

Group practices

Ocumed LLCGroup PAC ID 7719410018, 31 clinicians

Seacoast Emergency Physicians, PCGroup PAC ID 9234108200, 49 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wentworth-Douglass Hospital Hospital, Dover, NH, CCN 300018

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/ADEBAA
• Direct secure messaging: meghan.petzy@wdhospital.org

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.

• Ocumed LLC

  • Emergency Medicine Physician
  • Dover, NH
  • NPI 1417788811
  Medicare reassignment Care Compare group NPD
• Seacoast Emergency Physicians, PC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Dover, NH
  • NPI 1134155872
  Medicare reassignment Care Compare group NPD
• Patriot Urgent Care Professionals, PC

  • Urgent Care Clinic/Center
  • Waltham, MA
  • NPI 1417205105
  Medicare reassignment NPD
• Seacoast Emergency Physicians PC

  • Emergency Medicine Physician
  • Lee, NH
  • NPI 1740410133
  NPD
• Patriot Urgent Care Professionals PC

  • Urgent Care Clinic/Center
  • Cambridge, MA
  • NPI 1245123587
  NPD
• Patriot Urgent Care Professionals PC

  • Urgent Care Clinic/Center
  • Methuen, MA
  • NPI 1518520303
  NPD
• Convenientmd LLC

  • Urgent Care Clinic/Center
  • Newburyport, MA
  • NPI 1316428824
  NPD (past)
• Hurtt Family Health Clinic Inc

  • Federally Qualified Health Center (FQHC)
  • Santa Ana, CA
  • NPI 1003250093
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Wentworth Douglass Hospital

  • General Acute Care Hospital
  • Dover, NH
  • NPI 1033118104
  Care Compare affiliation
• Wentworth Douglass Hospital

  • Diabetes Educator Registered Nurse
  • Dover, NH
  • NPI 1407385198

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1495065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653436800000",
    "number": "1245767458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 ELWYN RD",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038015702",
            "telephone_number": "603-667-7456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "789 CENTRAL AVE",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038202526",
            "telephone_number": "603-742-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETZY",
        "first_name": "MEGHAN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "MSN, FNP-BC, ENP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-18",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95006614",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2297081",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "06447323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Meghan.petzy@wdhospital.org",
            "affiliation": "N",
            "address_1": "789 Central Ave",
            "city": "Dover",
            "state": "NH",
            "country_code": "US",
            "postal_code": "038202526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MEGHAN",
            "last_name": "DAIGLE",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stephan L Peterson, DDS
• Andrea Petraitis
• Richard A Petrie, MD
• Mollie Pettigrew, PHARMD
• Nancy J Pettinari, MD
• Nicholas Pfeifer, MSW
• Carl Wade Phelps, PTA
• Richard L Philbrook
• Brianne Philipps
• Michelle Philpot, OTR

• Family Nurse Practitioner in Dover, NH
• Providers in Dover, NH by specialty
• Family Nurse Practitioner in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; 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.

Verify at the official NPI Registry.