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Individual provider Active NPI

Lisa A Profetto, ARNP

  • Family Medicine Physician
  • Keene, NH
National Provider Identifier
1396767877
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
047837-23-03 Issued in NH
Practice address
590 Court St
Dartmouth-Hitchcock Keene
Keene, NH 03431
Phone
(603) 354-5454
NPI assigned
Jul 24, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 047837-23-03 NH Primary

Addresses

Primary practice location

590 Court St
Dartmouth-Hitchcock Keene
Keene, NH 03431

Mailing address

1521 County Rd
Walpole, NH 03608-4938

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
I20050701000246 NH Practitioner - Nurse Practitioner 6709822588 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Texas a & M University System, HSC, College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cheshire Medical CenterGroup PAC ID 1456260165, 165 clinicians
Mary Hitchcock Memorial HospitalGroup PAC ID 4486561164, 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

Merit-based Incentive Payment System (MIPS)

Final score
84.26 of 100Reported as group
Quality
75.44
Promoting interoperability
100
Improvement activities
40
Cost
72.09

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Hitchcock Memorial Hospital Current Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince Jan 1, 2019 Accepting new patients
Cheshire Medical Center CurrentSince Apr 8, 2015 Accepting new patients
Cheshire Medical Center Family Medicine CurrentSince Jan 1, 2019 Accepting new patients
Dartmouth-Hitchcock Clinic Family Medicine CurrentSince Feb 1, 2001 Accepting new patients
Dartmouth-Hitchcock Clinic CurrentSince Feb 1, 2001 Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince Aug 11, 2025 Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince Aug 11, 2025 Accepting new patients
Planned Parenthood of Northern New England, Inc Past Accepting new patients

Locations

253 Pleasant St
Concord, NH 03301
Phone (603) 226-2200

149 Emerald St
Keene, NH 03431
Phone (603) 354-5420

149 Emerald St
Unit K
Keene, NH 03431
Phone (603) 354-5484

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

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

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

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

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

Interoperability endpoints

  • Direct secure messaging: lprofetto32289@direct.dartmouth-hitchcock.org

Organizations & group practices 9

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 9

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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396767877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 COUNTY RD",
            "city": "WALPOLE",
            "state": "NH",
            "postal_code": "036084938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 COURT ST",
            "address_2": "DARTMOUTH-HITCHCOCK KEENE",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "03431",
            "telephone_number": "603-354-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROFETTO",
        "first_name": "LISA",
        "middle_name": "A",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "047837-23-03",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keene, NH

Sources for this page

Verify at the official NPI Registry.