Individual provider Active NPI

Erika Sheila Goguen, PA-C

  • Medical Physician Assistant
  • Nashua, NH
National Provider Identifier
1295237527
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
1348 Issued in NH
Practice address
22 Hunt St
Nashua, NH 03060-4499
Phone
(603) 765-3484
NPI assigned
Mar 2, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 1348 NH Primary
Medical Physician Assistant 363AM0700X PA6466 MA

Addresses

Primary practice location

22 Hunt St
Nashua, NH 03060-4499

Mailing address

77 Deerwood Dr Unit C
Nashua, NH 03063-1263
Phone (603) 765-3484

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
I20181205002980 NH Practitioner - Physician Assistant 7012251838 Reassigns benefits to 6 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA6466MAMDMedical Physician Assistant
1348NHMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Medical Center CurrentSince May 16, 2023 Accepting new patients
Genesis Eldercare Physician Services LLC CurrentSince Oct 17, 2018 Accepting new patients
Genesis Eldercare Physician Services LLC CurrentSince Oct 17, 2018 Accepting new patients
Catholic Medical Center CurrentSince May 16, 2023 Accepting new patients

Locations

188 State Route 101
Bedford, NH 03110
Phone (603) 314-4700

239 Pleasant St
Concord, NH 03301
Phone (603) 224-6561

175 Blueberry Ln
Laconia, NH 03246
Phone (603) 524-3340

24 Old Etna Rd
Lebanon, NH 03766
Phone (603) 442-4207

195 McGregor St
Ste 310
Manchester, NH 03102

775 S Main St
Manchester, NH 03102
Phone (603) 625-6198

Organizations & group practices 8

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": "1519948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1295237527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 DEERWOOD DR UNIT C",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030631263",
            "telephone_number": "603-765-3484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 HUNT ST",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030604499",
            "telephone_number": "603-765-3484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOGUEN",
        "first_name": "ERIKA",
        "middle_name": "SHEILA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-02",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NH",
            "license": "1348",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MA",
            "license": "PA6466",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

Verify at the official NPI Registry.