Individual provider Active NPI

Lisa C Page, ARNP

  • Gerontology Nurse Practitioner
  • Bedford, NH
National Provider Identifier
1306890843
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
04257423 Issued in NH
Practice address
1 Bedford Farms Dr Ste 2D
Bedford, NH 03110-6524
Phone
(603) 836-9521
NPI assigned
May 20, 2006
Last updated
Mar 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 04257423 NH
Gerontology Nurse Practitioner 363LG0600X 04257423 NH Primary

Addresses

Primary practice location

1 Bedford Farms Dr Ste 2D
Bedford, NH 03110-6524

Mailing address

185 Georgetown Dr
Center Barnstead, NH 03225-3321
Phone (603) 897-9107

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Work 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070115000190 NH Practitioner - Nurse Practitioner 5294747853 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04257423NHMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medoptions of New Hampshire LLC CurrentSince Mar 1, 2024 Accepting new patients
Landmark Medical of New Hampshire PC CurrentSince Apr 25, 2023 Accepting new patients
Life Choice Hospice of New Hampshire, LLC CurrentSince Mar 9, 2023 Accepting new patients
Visavis Health Care Medical Group of NH LLC CurrentSince Feb 24, 2024 Accepting new patients
Life Choice Hospice of New Hampshire II, LLC CurrentSince Mar 17, 2024 Accepting new patients
Anchor Health Centers PA Past Accepting new patients
Dr. Montanarella & Associates, PA PastSince Sep 7, 1990 Accepting new patients
Jwalant Vadalia MD PC Past Accepting new patients

Locations

7755 Center Ave
Ste 630
Huntington Beach, CA 92647
Phone (877) 240-3112

1 Bedford Farms Dr
Ste 2D
Bedford, NH 03110
Phone (603) 606-7974

1 Bedford Farms Dr
Ste D
Bedford, NH 03110

170 S River Rd
Ste 2
Bedford, NH 03110
Phone (603) 606-7974

20 Maitland St
Concord, NH 03301
Phone (516) 817-7093

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

8 Peabody Rd
Derry, NH 03038
Phone (603) 434-1566

1 Hampton Rd
Unit 210
Exeter, NH 03833
Phone (603) 964-5183

7 Baldwin St
Franklin, NH 03235
Phone (603) 671-3337

40 Crosby St
Milford, NH 03055
Phone (603) 673-7061

20 Trafalgar Sq
Ste 407
Nashua, NH 03063
Phone (833) 229-0957

10 Cadillac Dr
Ste 400
Brentwood, TN 37027
Phone (615) 637-9163

7300 State Highway 121
Ste 300
McKinney, TX 75070
Phone (214) 937-0278

Interoperability endpoints

  • Direct secure messaging: ms_lbeaulie@landmarkhealth-direct.org

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, 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": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1306890843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 GEORGETOWN DR",
            "city": "CENTER BARNSTEAD",
            "state": "NH",
            "postal_code": "032253321",
            "telephone_number": "603-897-9107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BEDFORD FARMS DR STE 2D",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106524",
            "telephone_number": "603-836-9521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGE",
        "first_name": "LISA",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-20",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NH",
            "license": "04257423",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NH",
            "license": "04257423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Work",
            "affiliation": "N",
            "endpointDescription": "work",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "170 S River Rd",
            "city": "Bedford",
            "state": "NH",
            "country_code": "US",
            "postal_code": "031106941",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bedford, NH

Sources for this page

Verify at the official NPI Registry.