Individual provider Active NPI

Anjelica Donnelly, O.D.

  • Optometrist
  • Nashua, NH
National Provider Identifier
1285110106
Registry record updated Jan 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0976 Issued in NH
Practice address
505 W Hollis St Ste 109
Nashua, NH 03062-1386
Phone
(603) 882-0311
NPI assigned
Jul 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0976 NH Primary

Addresses

Primary practice location

505 W Hollis St Ste 109
Nashua, NH 03062-1386

Mailing address

505 W Hollis St Ste 109
Nashua, NH 03062-1386
Phone (603) 882-0311

Other names 1

  • Ms. Anjelica Boemer 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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180820003170 NH Practitioner - Optometry 9830448133 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Helfman Lasky and Associates P aGroup PAC ID 9537103627, 9 clinicians

Practice addresses (Care Compare)

505 W Hollis St
Suite 109
Nashua, NH 03062-1386
Phone (603) 882-0311

Merit-based Incentive Payment System (MIPS)

Final score
81.7 of 100Reported as group
Quality
63.39
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0976NHMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Helfman Lasky & Associates P a Optometrist CurrentSince Jul 13, 2018 Accepting new patients
Stephen P. Byrnes, O.D. Optometrist CurrentSince Jan 1, 2019 Accepting new patients

Locations

80 Nashua Rd
Londonderry, NH 03053
Phone (603) 434-4449

505 W Hollis St
Nashua, NH 03062
Phone (603) 579-9648

505 W Hollis St
Ste 109
Nashua, NH 03062
Phone (603) 882-0311

Interoperability endpoints

  • Direct secure messaging: anjelica.donnelly@direct.revolutionehr.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": "1531440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578441600000",
    "number": "1285110106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 W HOLLIS ST STE 109",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030621386",
            "telephone_number": "603-882-0311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 W HOLLIS ST STE 109",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030621386",
            "telephone_number": "603-882-0311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONNELLY",
        "first_name": "ANJELICA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-13",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NH",
            "license": "0976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANJELICA",
            "last_name": "BOEMER",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Nashua, NH

Sources for this page

Verify at the official NPI Registry.