NPIMap

Elizabeth Ann Hale, APRN

Individual provider Active NPI Family Nurse Practitioner · Keene, NH

NPI 1366072951 · NPPES record last updated Nov 8, 2021

Key facts

NPI
1366072951
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
086199-23 (NH)
Practice address
590 Court St
Keene, NH 03431-1719
Phone
(603) 345-5400
NPI assigned
Jan 22, 2020
Sex
Female
Sole proprietor
No

Organizations & group practices 13

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 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cheshire Medical Center (165 clinicians)
Mary Hitchcock Memorial Hospital (1,269 clinicians)

Practice addresses (Care Compare)

580 Court St
Keene, NH 03431-1718
Phone (603) 354-5454

590 Court St
Keene, NH 03431-1719
Phone (603) 354-4000

Hospital & facility affiliations

  • Vna at HCS Inc Home health agency · Keene, NH · CCN 307046
  • Interim Healthcare Home health agency · Manchester, NH · CCN 307049
  • Bayada Home Health Care Inc. Home health agency · Londonderry, NH · CCN 307098
  • Bayada Home Health Care, Inc. Home health agency · Rutland, VT · CCN 477019
  • Cheshire Medical Center Hospital · Keene, NH · CCN 300019
  • Mary Hitchcock Memorial Hospital Hospital · Lebanon, NH · CCN 300003
  • Brattleboro Memorial Hospital Hospital · Brattleboro, VT · CCN 470011

Merit-based Incentive Payment System (MIPS)

Final score
84.26 of 100 (group)
Quality
75.44
Promoting interoperability
100
Improvement activities
40
Cost
72.09

Merit-based Incentive Payment System (MIPS)

Final score
79.66 of 100 (apm)
Quality
53.51
Promoting interoperability
100
Improvement activities
40

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in FL, NH
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20200227000235 FL Practitioner - Nurse Practitioner 0547697864
I20211116000822 NH Practitioner - Nurse Practitioner 0547697864 Reassigns benefits to 3 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11005795FLMDNurse Practitioner
086199-23NHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cheshire Medical Center Current
since Nov 8, 2021		 Accepting new patients
Mary Hitchcock Memorial Hospital Current
since Aug 9, 2025		 Accepting new patients
Dartmouth-Hitchcock Clinic Current
since Nov 8, 2021		 Accepting new patients
Mary Hitchcock Memorial Hospital Current
since Nov 8, 2021		 Accepting new patients
Mary Hitchcock Memorial Hospital Current Accepting new patients
Conviva Medical Center Management LLC Past
since Jan 1, 2020		 Accepting new patients

Locations

62 Maple Ave
Keene, NH 03431
Phone (603) 308-1467

590 Court St
Keene, NH 03431
Phone (603) 354-5454

580 Court St
Keene, NH 03431
Phone (603) 354-5454

1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11005795 FL
Family Nurse Practitioner 363LF0000X 086199-23 NH Yes

Addresses

Primary practice location

590 Court St
Keene, NH 03431-1719

Mailing address

590 Court St
Keene, NH 03431-1719
Phone (603) 345-5400

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 8, 2021.

{
    "created_epoch": "1579651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636329600000",
    "number": "1366072951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 COURT ST",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034311719",
            "telephone_number": "603-345-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 COURT ST",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034311719",
            "telephone_number": "603-345-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALE",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-22",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11005795",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "086199-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keene, NH

All providers in Keene, NH · Family Nurse Practitioner in New Hampshire

Sources for this page

Verify at the official NPI Registry.