Individual provider Active NPI

Russell Allen Howard, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Concord, NH
National Provider Identifier
1275954166
Registry record updated Nov 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
063573-23 Issued in NH
Practice address
60 Commercial St Ste 303
Concord, NH 03301-5096
Phone
(603) 556-7101
Fax
(855) 420-4707
NPI assigned
Dec 19, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 063573-23 NH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 063573-23 NH Primary

Addresses

Primary practice location

60 Commercial St Ste 303
Concord, NH 03301-5096

Mailing address

60 Commercial St Ste 303
Concord, NH 03301-5096
Phone (603) 556-7101

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
I20140121000762 NH Practitioner - Nurse Practitioner 9638307606 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Center State Wellness LLCGroup PAC ID 4385077577, 5 clinicians

Practice addresses (Care Compare)

60 Commercial St
Suite 303
Concord, NH 03301-5096
Phone (603) 556-7101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
063573-23NHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Center State Wellness LLC Family CurrentSince Sep 21, 2019 Accepting new patients
Center State Wellness LLC Psychiatric/Mental Health Current Accepting new patients
The Lakes Region Mental Health Center, Inc. PastSince Sep 24, 2009 Accepting new patients

Locations

102 Pleasant St
Ste 2
Concord, NH 03301
Phone (603) 219-0481

60 Commercial St
Ste 303
Concord, NH 03301
Phone (603) 223-8145

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1387411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731196800000",
    "number": "1275954166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 COMMERCIAL ST STE 303",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033015096",
            "telephone_number": "603-556-7101",
            "fax_number": "855-420-4707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 COMMERCIAL ST STE 303",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033015096",
            "telephone_number": "603-556-7101",
            "fax_number": "855-420-4707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWARD",
        "first_name": "RUSSELL",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-12-19",
        "last_updated": "2024-11-10",
        "certification_date": "2024-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "063573-23",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NH",
            "license": "063573-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NH

Sources for this page

Verify at the official NPI Registry.