NPIMap

Individual provider Active NPI

Carlie Margaret Ingram, PA-C

  • Physician Assistant
  • Concord, NH
National Provider Identifier
1336452358
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0791 Issued in NH
Practice address
60 Commercial St Ste 404
Concord, NH 03301-5096
Phone
(603) 228-1763
Fax
(603) 227-7539
NPI assigned
Jul 19, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

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 0791 NH Primary

Addresses

Primary practice location

60 Commercial St Ste 404
Concord, NH 03301-5096

Mailing address

60 Commercial St Ste 404
Concord, NH 03301-5096
Phone (603) 228-1763

Other practice location 1

250 Pleasant St
Concord, NH 03301-7539
Phone (603) 228-7200

Other identifiers 1

IdentifierTypeStateIssuer
30338401MedicaidNH

Other names 1

  • Ms. Carlie Margaret Brigham Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101201001104 NH Practitioner - Physician Assistant 7113113119 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Concord Hospital-LaconiaGroup PAC ID 7012326259, 275 clinicians
Concord Hospital IncGroup PAC ID 6103721790, 572 clinicians

Practice addresses (Care Compare)

238 Daniel Webster Hwy
Meredith, NH 03253-5803
Phone (603) 279-7464

250 Pleasant St
Concord, NH 03301-2598

250 Pleasant St
Concord, NH 03301-7559
Phone (603) 230-3138

80 Highland St
Laconia, NH 03246-3235
Phone (603) 228-1763

Hospital & facility affiliations

  • Concord Hospital- Laconia Hospital, Laconia, NH, CCN 300005
  • Concord Hospital Hospital, Concord, NH, CCN 300001
  • Huggins Hospital Hospital, Wolfeboro, NH, CCN 301312
  • Speare Memorial Hospital Hospital, Plymouth, NH, CCN 301311
  • Concord Hospital- Franklin Hospital, Franklin, NH, CCN 301306

Merit-based Incentive Payment System (MIPS)

Final score
89 of 100Reported as apm
Quality
73.23
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
89 of 100Reported as apm
Quality
73.23
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0791NHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Hospital, Inc. CurrentSince Jun 12, 2013 Accepting new patients
Concord Hospital, Inc. CurrentSince Jun 12, 2013 Accepting new patients
Concord Hospital-Laconia CurrentSince May 21, 2023 Accepting new patients

Locations

246 Pleasant St
Concord, NH 03301
Phone (603) 224-1223

250 Pleasant St
Concord, NH 03301
Phone (603) 225-2711

60 Commercial St
Ste 404
Concord, NH 03301
Phone (603) 228-1763

80 Highland St
Laconia, NH 03246
Phone (603) 527-7100

238 Daniel Webster Hwy
Meredith, NH 03253
Phone (603) 279-7464

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 11

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": "1279497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1336452358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 COMMERCIAL ST STE 404",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033015096",
            "telephone_number": "603-228-1763",
            "fax_number": "603-227-7539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 COMMERCIAL ST STE 404",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033015096",
            "telephone_number": "603-228-1763",
            "fax_number": "603-227-7539"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 Pleasant St",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NH",
            "postal_code": "033017539",
            "country_code": "US",
            "telephone_number": "603-228-7200",
            "fax_number": "603-228-7307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "INGRAM",
        "first_name": "CARLIE",
        "middle_name": "MARGARET",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-19",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NH",
            "license": "0791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30338401",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLIE",
            "last_name": "BRIGHAM",
            "middle_name": "MARGARET",
            "prefix": "MS.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Concord, NH

Sources for this page

Verify at the official NPI Registry.