Individual provider Active NPI

Elisabeth Ann Costigan, NP

  • Nurse Practitioner
  • Wolfeboro, NH
National Provider Identifier
1285119362
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
180966 Issued in MA
Practice address
240 S Main St
Wolfeboro, NH 03894-4455
Phone
(603) 515-2108
NPI assigned
Sep 25, 2018
Last updated
Feb 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 180966 MA Primary

Addresses

Primary practice location

240 S Main St
Wolfeboro, NH 03894-4455

Mailing address

240 S Main St
Wolfeboro, NH 03894-4455
Phone (603) 515-2108

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190315002086 MA Practitioner - Nurse Practitioner 6901146620 Reassigns benefits to 2 organizations
I20250310001454 NH Practitioner - Nurse Practitioner 6901146620 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
180966MAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The General Hospital Corporation CurrentSince Jan 30, 2019 Accepting new patients
Huggins Hospital CurrentSince Feb 3, 2025 Accepting new patients
Massachusetts General Physicians Organization Inc CurrentSince Jan 30, 2019 Accepting new patients
Huggins Hospital CurrentSince Feb 3, 2025 Accepting new patients

Locations

55 Fruit St
Boston, MA 02114

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

240 S Main St
Wolfeboro, NH 03894
Phone (603) 515-2093

240 S Main St
Ste J
Wolfeboro, NH 03894
Phone (603) 569-7588

Interoperability endpoints

  • Direct secure messaging: elisabethcostigan@huggins.medalliesdirect.net

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1537833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1285119362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 S MAIN ST",
            "city": "WOLFEBORO",
            "state": "NH",
            "postal_code": "038944455",
            "telephone_number": "603-515-2108",
            "fax_number": "603-569-7667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 S MAIN ST",
            "city": "WOLFEBORO",
            "state": "NH",
            "postal_code": "038944455",
            "telephone_number": "603-515-2108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTIGAN",
        "first_name": "ELISABETH",
        "middle_name": "ANN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-25",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "180966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wolfeboro, NH

Sources for this page

Verify at the official NPI Registry.