Individual provider Active NPI

Bernadette Katherine Gandolfi

  • Family Nurse Practitioner
  • Newington, NH
National Provider Identifier
1336974906
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
073631-21 Issued in NH
Practice address
101 Shattuck Way Ste 6
Newington, NH 03801-7876
Phone
(603) 383-2020
NPI assigned
Sep 4, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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 2297494 MA
Family Nurse Practitioner 363LF0000X 073631-21 NH Primary

Addresses

Primary practice location

101 Shattuck Way Ste 6
Newington, NH 03801-7876

Mailing address

101 Shattuck Way Ste 6
Newington, NH 03801-7876
Phone (603) 383-2020

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
I20250602002816 NH Practitioner - Nurse Practitioner 2163931114 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Specialty Institute PLLCGroup PAC ID 0941683551, 6 clinicians

Practice addresses (Care Compare)

101 Shattuck Way
Suite 6
Newington, NH 03801-7876
Phone (603) 778-9921

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2297494MAMDFamily Nurse Practitioner
073631-21NHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Specialty Institute PLLC CurrentSince Mar 24, 2025 Accepting new patients

Locations

60 Exeter Rd
Ste 300
Newmarket, NH 03857
Phone (603) 431-5205

101 Shattuck Way
Ste 6
Portsmouth, NH 03801
Phone (603) 383-2020

Interoperability endpoints

  • Direct secure messaging: bernadette.gandolfi.1@17350.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1725408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763683200000",
    "number": "1336974906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 SHATTUCK WAY STE 6",
            "city": "NEWINGTON",
            "state": "NH",
            "postal_code": "038017876",
            "telephone_number": "603-383-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 SHATTUCK WAY STE 6",
            "city": "NEWINGTON",
            "state": "NH",
            "postal_code": "038017876",
            "telephone_number": "603-383-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANDOLFI",
        "first_name": "BERNADETTE",
        "middle_name": "KATHERINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-04",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "2297494",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "073631-21",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newington, NH

Sources for this page

Verify at the official NPI Registry.