Yemi O Alejo
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Manchester, NH
NPI 1396243457 · NPPES record last updated Nov 30, 2022
Key facts
- NPI
- 1396243457
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 259801 (AZ)
- Practice address
- 718 Smyth Rd
Manchester, NH 03104-7007 - Phone
- (603) 624-4366
- NPI assigned
- Jan 24, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Connections Southernaz, LLC
Practice addresses (Care Compare)
2802 E District St
FL 2
Tucson, AZ 85714-2081
Phone (520) 301-2400
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NH, AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180510001286 | NH | Practitioner - Nurse Practitioner | 6608130042 | Reassigns benefits to 2 organizations |
| I20221123002450 | AZ | Practitioner - Nurse Practitioner | 6608130042 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F12170225 | NH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mary Hitchcock Memorial Hospital | Current |
Accepting new patients | |
| Dartmouth-Hitchcock Clinic | Current |
Accepting new patients | |
| Connections Southernaz, LLC | Current |
Accepting new patients | |
| Connections Southernaz, LLC | Current |
Accepting new patients | |
| Mary Hitchcock Memorial Hospital | Current |
Accepting new patients | |
| Connections Southernaz, LLC | Current | Accepting new patients |
Locations
1205 S 7th Ave
Ste 105
Phoenix, AZ 85007
Phone (602) 416-7647
2802 E District St
Fl 2
Tucson, AZ 85714
Phone (602) 253-5100
1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F12170225 | NH | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 259801 | AZ | Yes |
Addresses
Primary practice location
718 Smyth Rd
Manchester, NH 03104-7007
Mailing address
131 Kenney St
Manchester, NH 03103-3418
Other providers in Manchester, NH
- Albrecht Integrative Osteopathy, PLLC
- Jason Michael Albrecht
- Bridget Denny Alcorn
- Melissa Alder
- Stefani Aldridge
- Summer Alexander
- Thomas Algozzine
- Kerry Ali
- Align Counseling Associates PLLC
- Candice Woods Alizio
All providers in Manchester, NH · Psychiatric/Mental Health Nurse Practitioner in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 30, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.