Individual provider Active NPI

Sarah A Depelteau, MSN, APRN, FNP-C

  • Nurse Practitioner
  • Concord, NH
National Provider Identifier
1386347722
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
067436-23 Issued in NH
Practice address
194A Pleasant St Ste 101
Concord, NH 03301-2960
Phone
(603) 856-8828
Fax
(603) 856-8813
NPI assigned
Mar 24, 2023
Last updated
Jul 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 067436-23 NH Primary

Addresses

Primary practice location

194A Pleasant St Ste 101
Concord, NH 03301-2960

Mailing address

194A Pleasant St Ste 101
Concord, NH 03301-2960
Phone (603) 856-8828

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
I20241107000055 NH Practitioner - Nurse Practitioner 7618326612 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
Group practices
Crossroads Family Medicine PLLCGroup PAC ID 8628244084, 3 clinicians

Practice addresses (Care Compare)

194 Pleasant St
Suite 7
Concord, NH 03301-2952
Phone (603) 856-8828

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Crossroads Family Medicine PLLC CurrentSince Aug 8, 2024 Accepting new patients
Derry Medical Center, PA PastSince Jun 1, 2023 Accepting new patients

Locations

194 Pleasant St
Ste 7
Concord, NH 03301
Phone (603) 208-3085

194A Pleasant St
Ste 101
Concord, NH 03301
Phone (603) 856-8828

Organizations & group practices 2

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.

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": "1679616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1386347722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "194A PLEASANT ST STE 101",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033012960",
            "telephone_number": "603-856-8828",
            "fax_number": "603-856-8813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194A PLEASANT ST STE 101",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033012960",
            "telephone_number": "603-856-8828",
            "fax_number": "603-856-8813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPELTEAU",
        "first_name": "SARAH",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-24",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NH",
            "license": "067436-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NH

Sources for this page

Verify at the official NPI Registry.