Individual provider Active NPI

Maureen Dietrich, APRN

  • Family Nurse Practitioner
  • Dover, NH
National Provider Identifier
1316655335
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
090171-23 Issued in NH
Practice address
10 Members Way FL 5
Dover, NH 03820-5933
Phone
(603) 609-6800
NPI assigned
Nov 8, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NH NH
Family Nurse Practitioner 363LF0000X 090171-23 NH Primary

Addresses

Primary practice location

10 Members Way FL 5
Dover, NH 03820-5933

Mailing address

70 Goodwin St
South Berwick, ME 03908-1120

Other practice location 1

70 Goodwin St
South Berwick, ME 03908-1120
Phone (603) 828-5211

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
I20230124000332 NH Practitioner - Nurse Practitioner 1153792593 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

10 Members Way 5TH Floor
WHP Internal Medicine
Dover, NH 03820-5933
Phone (603) 609-6800

Hospital & facility affiliations

  • Wentworth Home Care & Hospice, an Amedisys Partner Home health agency, Somersworth, NH, CCN 307014
  • Cornerstone Vna Home health agency, Rochester, NH, CCN 307022
  • Wentworth-Douglass Hospital Hospital, Dover, NH, CCN 300018

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NHNHMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Wentworth Douglass Hospital Current Accepting new patients
Wentworth Douglass Physician Corporation CurrentSince Jan 16, 2023 Accepting new patients
Wentworth Douglass Physician Corporation CurrentSince Jan 16, 2023 Accepting new patients
Westchester Neurological Consultant PC Past Accepting new patients

Locations

789 Central Ave
Dover, NH 03820
Phone (603) 740-2832

750 Central Ave
Ste Q
Dover, NH 03820
Phone (603) 742-6030

10 Members Way
Fl 5
Dover, NH 03820
Phone (603) 609-6800

10 Members Way
Ste 200
Dover, NH 03820
Phone (603) 609-6930

10 Members Way
Ste 500
Dover, NH 03820
Phone (603) 609-6800

10 Members Way
Ste 203
Dover, NH 03820
Phone (603) 742-3174

65 Calef Hwy
Ste 200
Lee, NH 03861
Phone (603) 868-3300

67 Corporate Dr
Fl 3
Portsmouth, NH 03801
Phone (603) 610-8050

150 Marketplace Blvd
Unit 9
Rochester, NH 03867
Phone (603) 516-4212

Interoperability endpoints

  • Direct secure messaging: dietrich.maureen.wdh@direct.partners.masshiway.net
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

Hospital & facility affiliations 4

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": "1667865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1316655335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 GOODWIN ST",
            "city": "SOUTH BERWICK",
            "state": "ME",
            "postal_code": "039081120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MEMBERS WAY FL 5",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038205933",
            "telephone_number": "603-609-6800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "70 Goodwin St",
            "address_purpose": "LOCATION",
            "city": "South Berwick",
            "state": "ME",
            "postal_code": "039081120",
            "country_code": "US",
            "telephone_number": "603-828-5211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIETRICH",
        "first_name": "MAUREEN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-08",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "NH",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "090171-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, NH

Sources for this page

Verify at the official NPI Registry.