Individual provider Active NPI

Hilary St. John Kilcullen, PA

  • Physician Assistant
  • Nashua, NH
National Provider Identifier
1295751774
Registry record updated Aug 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0079P Issued in NH
Practice address
173 Daniel Webster Hwy
Nashua, NH 03060
Phone
(603) 891-4400
Fax
(603) 891-4414
NPI assigned
Jul 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2014

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 0079P NH Primary

Addresses

Primary practice location

173 Daniel Webster Hwy
Nashua, NH 03060

Mailing address

PO Box 808
Nashua, NH 03061-0808
Phone (603) 578-5054

Other identifiers 1

IdentifierTypeStateIssuer
30331837MedicaidNH

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
I20080515000177 NH Practitioner - Physician Assistant 8921177015 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Joseph Hospital of Nashua NHGroup PAC ID 2062455611, 271 clinicians

Practice addresses (Care Compare)

172 Kinsley St
Nashua, NH 03060-3648
Phone (603) 884-5600

173 Daniel Webster Hwy
Nashua, NH 03060-5256
Phone (603) 891-4500

442 Nashua St
Milford, NH 03055-4915
Phone (603) 673-5623

444 Nashua St
Milford, NH 03055-4915
Phone (603) 673-3014

460 Amherst St
Nashua, NH 03063-1255
Phone (603) 883-7970

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0079NHMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
St Joseph Hospital of Nashua NH CurrentSince Jun 28, 2015 Accepting new patients

Locations

442 Nashua St
Milford, NH 03055
Phone (603) 673-3014

173 Daniel Webster Hwy
Nashua, NH 03060
Phone (603) 891-4400

17 Riverside St
Ste 202
Nashua, NH 03062
Phone (603) 577-5760

172 Kinsley St
Nashua, NH 03060
Phone (603) 595-3926

166 Kinsley St
Ste 101
Nashua, NH 03060
Phone (603) 881-7141

Interoperability endpoints

  • Direct secure messaging: hkilcullen1152669@direct.bsmhealth.org

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407283200000",
    "number": "1295751774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 808",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030610808",
            "telephone_number": "603-578-5054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 DANIEL WEBSTER HWY",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "03060",
            "telephone_number": "603-891-4400",
            "fax_number": "603-891-4414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILCULLEN",
        "first_name": "HILARY",
        "middle_name": "ST. JOHN",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-15",
        "last_updated": "2014-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NH",
            "license": "0079P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30331837",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

Verify at the official NPI Registry.