Individual provider Active NPI

Rossli Chace Delorey, FNP-C

  • Nurse Practitioner
  • Portsmouth, NH
National Provider Identifier
1306313291
Registry record updated Oct 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
066554-23 Issued in NH
Practice address
999 Islington St
Portsmouth, NH 03801-4229
Phone
(603) 294-0349
NPI assigned
Oct 29, 2018
Last updated
Oct 29, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2018

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 066554-23 NH Primary

Addresses

Primary practice location

999 Islington St
Portsmouth, NH 03801-4229

Mailing address

999 Islington St
Portsmouth, NH 03801-4229

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
I20200311000910 NH Practitioner - Nurse Practitioner 5597193276 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Anthony J Wilson MD PLLC CurrentSince Dec 31, 2019 Accepting new patients

Locations

500 Market St
Unit 1B
Portsmouth, NH 03801
Phone (603) 294-4526

Organizations & group practices 1

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": "1540771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540771200000",
    "number": "1306313291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 ISLINGTON ST",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038014229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 ISLINGTON ST",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038014229",
            "telephone_number": "603-294-0349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELOREY",
        "first_name": "ROSSLI",
        "middle_name": "CHACE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-29",
        "last_updated": "2018-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NH",
            "license": "066554-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, NH

Sources for this page

Verify at the official NPI Registry.