Individual provider Active NPI

Jacqueline E. Merlo, PA

  • Physician Assistant
  • Salem, NH
National Provider Identifier
1285073866
Registry record updated Aug 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0967 Issued in NH
Practice address
NRHN Rehab Physician Services
70 Butler Street
Salem, NH 03079
Phone
(603) 501-5547
Fax
(603) 501-5650
NPI assigned
Jun 18, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2023

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 0967 NH Primary

Addresses

Primary practice location

NRHN Rehab Physician Services
70 Butler Street
Salem, NH 03079

Mailing address

NRHN Rehab Physician Services
105 Corporate Drive
Portsmouth, NH 03801
Phone (603) 501-5547

Other identifiers 1

IdentifierTypeStateIssuer
3089990MedicaidNH

Other names 1

  • Jacqueline Foskitt Former name

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
I20131121000079 NH Practitioner - Physician Assistant 6901032945 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0967NHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Purple Finch Inpatient Services, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jacqueline.foskitt.1@6076.direct.athenahealth.com

Organizations & group practices 2

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": "1371513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1285073866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NRHN REHAB PHYSICIAN SERVICES",
            "address_2": "105 CORPORATE DRIVE",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "03801",
            "telephone_number": "603-501-5547",
            "fax_number": "603-501-5650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NRHN REHAB PHYSICIAN SERVICES",
            "address_2": "70 BUTLER STREET",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "03079",
            "telephone_number": "603-501-5547",
            "fax_number": "603-501-5650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERLO",
        "first_name": "JACQUELINE",
        "middle_name": "E.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-18",
        "last_updated": "2023-08-11",
        "certification_date": "2020-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NH",
            "license": "0967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3089990",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "FOSKITT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Salem, NH

Sources for this page

Verify at the official NPI Registry.