Individual provider Active NPI

Mark P. Herron, PA-C

  • Physician Assistant
  • Penacook, NH
National Provider Identifier
1255605069
Registry record updated Mar 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
4 Crescent St
Penacook, NH 03303-1412
Phone
(603) 753-4302
Fax
(603) 227-7570
NPI assigned
Feb 27, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

4 Crescent St
Penacook, NH 03303-1412

Mailing address

4 Crescent St.
Penacook, NH 03303-1412
Phone (603) 753-4302

Other practice location 1

246 Pleasant St.
Memorial Building, West, Floor 2
Concord, NH 03301-2548
Phone (603) 224-4003

Other practice location 2

112 Spit Brook Rd
Nashua, NH 03062-2711
Phone (603) 891-6952

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
I20171211001822 NH Practitioner - Physician Assistant 9638437171 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Foundation Medical Partners IncGroup PAC ID 9436140456, 313 clinicians
Concord Hospital IncGroup PAC ID 6103721790, 572 clinicians

Practice addresses (Care Compare)

112 Spit Brook Rd
Nashua, NH 03062-2869
Phone (603) 577-2273

250 Pleasant St
Concord, NH 03301-7559
Phone (603) 230-3138

4 Crescent St
Penacook, NH 03303-1412
Phone (603) 753-4302

Hospital & facility affiliations

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
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1316NHMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Hospital, Inc. CurrentSince Feb 16, 2021 Accepting new patients
Concord Hospital-Laconia CurrentSince Dec 16, 2024 Accepting new patients
Concord Hospital, Inc. CurrentSince Feb 16, 2021 Accepting new patients
Concord Hospital-Laconia Past 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

14 Maple St
Ste 210
Gilford, NH 03249
Phone (603) 524-2073

14 Maple St
Gilford, NH 03249
Phone (603) 524-5816

238 Daniel Webster Hwy
Meredith, NH 03253
Phone (603) 279-7464

4 Crescent St
Penacook, NH 03303
Phone (603) 753-4302

Organizations & group practices 6

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 4

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": "1330300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616112000000",
    "number": "1255605069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 CRESCENT ST.",
            "city": "PENACOOK",
            "state": "NH",
            "postal_code": "033031412",
            "telephone_number": "603-753-4302",
            "fax_number": "603-227-7570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 CRESCENT ST",
            "city": "PENACOOK",
            "state": "NH",
            "postal_code": "033031412",
            "telephone_number": "603-753-4302",
            "fax_number": "603-227-7570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "246 Pleasant St.",
            "address_2": "Memorial Building, West, Floor 2",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NH",
            "postal_code": "033012548",
            "country_code": "US",
            "telephone_number": "603-224-4003",
            "fax_number": "603-227-7526",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "112 Spit Brook Rd",
            "address_purpose": "LOCATION",
            "city": "Nashua",
            "state": "NH",
            "postal_code": "030622711",
            "country_code": "US",
            "telephone_number": "603-891-6952",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERRON",
        "first_name": "MARK",
        "middle_name": "P.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-27",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Penacook, NH

Sources for this page

Verify at the official NPI Registry.