Individual provider Active NPI

Lauren Lynn Skusevich, APRN

  • Nurse Practitioner
  • Concord, NH
National Provider Identifier
1245875129
Registry record updated Nov 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
070770-23 Issued in NH
Practice address
8 Loudon Rd
Concord, NH 03301-5300
Phone
(603) 226-9000
NPI assigned
Nov 14, 2019
Last updated
Nov 14, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2019

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 070770-23 NH Primary

Addresses

Primary practice location

8 Loudon Rd
Concord, NH 03301-5300

Mailing address

111 New Hampshire Ave
Portsmouth, NH 03801-2864
Phone (603) 226-9000

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
I20200220002846 NH Practitioner - Nurse Practitioner 5395172936 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Clearchoicemd, PLLCGroup PAC ID 1850510058, 85 clinicians

Practice addresses (Care Compare)

127 Plaistow Rd
Suite 1
Plaistow, NH 03865-2811
Phone (603) 797-9289

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
070770-23NHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Urgent Care Services, LLC CurrentSince Jan 5, 2022 Accepting new patients
Clearchoicemd, PLLC CurrentSince Jan 5, 2022 Accepting new patients
Clearchoicemd, PLLC CurrentSince Jan 5, 2022 Accepting new patients
Clearchoicemd Primary Care PLLC Past Accepting new patients

Locations

1 Beehive Dr
Epping, NH 03042
Phone (603) 734-9202

558 Mast Rd
Goffstown, NH 03045
Phone (603) 232-1790

7 Cinemagic Way
Hooksett, NH 03106
Phone (603) 782-5112

410 Miracle Mile
Lebanon, NH 03766
Phone (603) 276-3260

127 Plaistow Rd
Ste 1
Plaistow, NH 03865
Phone (603) 797-9289

636 Lafayette Rd
Seabrook, NH 03874
Phone (603) 457-7830

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1573689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573689600000",
    "number": "1245875129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 NEW HAMPSHIRE AVE",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038012864",
            "telephone_number": "603-226-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 LOUDON RD",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033015300",
            "telephone_number": "603-226-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKUSEVICH",
        "first_name": "LAUREN",
        "middle_name": "LYNN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-14",
        "last_updated": "2019-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NH",
            "license": "070770-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NH

Sources for this page

Verify at the official NPI Registry.