Active NPI
Jessica L Fellman, APRN
- Acute Care Nurse Practitioner
- Manchester, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 058697-23
- Practice address
- 100 McGregor St
Manchester, NH 03102-3730 - Phone
- (603) 663-6401
- NPI assigned
- Oct 24, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 058697-23 | NH | |
| Acute Care Nurse Practitioner | 363LA2100X | 058697-23 | NH | Primary |
Addresses
Primary practice location
100 McGregor St
Manchester, NH 03102-3730
Mailing address
100 McGregor St
Manchester, NH 03102-3770
Phone (603) 663-6401
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cmcnh@gohnh.allscriptsdirect.net | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Georgetown University School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 McGregor St
Manchester, NH 03102-3730
Phone (603) 668-3545
Hospital & facility affiliations
- Catholic Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 058697-23 | NH | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intensive Care Consortium Inc | Nurse Practitioner | Current | Accepting new patients |
| Catholic Medical Center | Current | Accepting new patients | |
| Catholic Medical Center | Current | Accepting new patients | |
| Neonatal and Pediatric Intensivist Services of New Hampshire, LLC | Past | Accepting new patients |
Locations
100 McGregor St
Manchester, NH 03102
Phone (603) 663-6931
333 Bothwick Ave
Portsmouth, NH 03801
Phone (603) 433-4907
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
Interoperability endpoints
- cmcnh@gohnh.allscriptsdirect.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 and National Provider Directory roles.
-
- General Acute Care Hospital
- Manchester, NH
- NPI 1427154335
-
- Anesthesiology Physician
- Manchester, NH
- NPI 1003692112
-
- Pediatrics Physician
- Manchester, NH
- NPI 1710773510
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Manchester, NH
- NPI 1972340990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740441600000",
"number": "1285185371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 MCGREGOR ST",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031023770",
"telephone_number": "603-663-6401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MCGREGOR ST",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031023730",
"telephone_number": "603-663-6401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FELLMAN",
"first_name": "JESSICA",
"middle_name": "L",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-24",
"last_updated": "2025-02-25",
"certification_date": "2025-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NH",
"license": "058697-23",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "NH",
"license": "058697-23",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cmcnh@gohnh.allscriptsdirect.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "100 McGregor St",
"city": "Manchester",
"state": "NH",
"country_code": "US",
"postal_code": "031023730",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Manchester, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.