Individual provider Active NPI

Juanita M Fernandes, APRN

  • Family Nurse Practitioner
  • Gilford, NH
National Provider Identifier
1255880514
Registry record updated Nov 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
038962-23 Issued in NH
Practice address
14 Maple St
Gilford, NH 03249-6580
Phone
(603) 524-5816
Fax
(603) 524-6984
NPI assigned
Sep 28, 2016
Last updated
Nov 29, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 038962-23 NH Primary

Addresses

Primary practice location

14 Maple St
Gilford, NH 03249-6580

Mailing address

PO Box 1327
Laconia, NH 03247-1327
Phone (603) 524-3211

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
I20161229000896 NH Practitioner - Nurse Practitioner 6204117559 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid-State Health CenterGroup PAC ID 1951363563, 32 clinicians

Practice addresses (Care Compare)

101 Boulder Point Dr
Suite 1
Plymouth, NH 03264-3170
Phone 60353640001004

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Hospital-Laconia CurrentSince May 1, 2021 Accepting new patients
Concord Hospital-Franklin CurrentSince Dec 5, 2016 Accepting new patients
Mid-State Health Center CurrentSince Aug 17, 2021 Accepting new patients
Concord Hospital-Franklin Current Accepting new patients
Lrghealthcare CurrentSince Dec 5, 2016 Accepting new patients
Mid-State Health Center Current Accepting new patients
Mid-State Health Center CurrentSince Aug 17, 2021 Accepting new patients
Clearchoicemd Primary Care PLLC Past Accepting new patients

Locations

100 Robie Rd
Alexandria, NH 03222
Phone (603) 744-6200

8 Corporate Dr
Belmont, NH 03220
Phone (603) 524-3397

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

15 Aiken Ave
Franklin, NH 03235
Phone (603) 934-2060

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

80 Highland St
Laconia, NH 03246
Phone (603) 527-7100

238 Daniel Webster Hwy
Meredith, NH 03253
Phone (603) 279-7433

101 Boulder Point Dr
Ste 1
Plymouth, NH 03264
Phone (603) 238-3537

Organizations & group practices 8

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.

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": "1475020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480377600000",
    "number": "1255880514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1327",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "032471327",
            "telephone_number": "603-524-3211",
            "fax_number": "603-527-7038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 MAPLE ST",
            "city": "GILFORD",
            "state": "NH",
            "postal_code": "032496580",
            "telephone_number": "603-524-5816",
            "fax_number": "603-524-6984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDES",
        "first_name": "JUANITA",
        "middle_name": "M",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-28",
        "last_updated": "2016-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "038962-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilford, NH

Sources for this page

Verify at the official NPI Registry.