Individual provider Active NPI

Tara K Fraser, PA-C

  • Medical Physician Assistant
  • Rochester, NH
National Provider Identifier
1396829495
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
409 Issued in NH
Practice address
21 Whitehall Road
Suite 301
Rochester, NH 03867
Phone
(603) 692-6066
Fax
(603) 664-7205
NPI assigned
Oct 25, 2006
Last updated
Jun 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 409 NH Primary

Addresses

Primary practice location

21 Whitehall Road
Suite 301
Rochester, NH 03867

Mailing address

21 Whitehall Road
Suite 301
Rochester, NH 03867
Phone (603) 692-6066

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
I20040812000879 NH Practitioner - Physician Assistant 3577535137 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Appledore Medical Group IncGroup PAC ID 5698666154, 197 clinicians

Practice addresses (Care Compare)

21 Whitehall Rd
Rochester, NH 03867-3236

330 Borthwick Ave
Suite 308
Portsmouth, NH 03801-7112
Phone (603) 431-5242

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
409NHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Appledore Medical Group, Inc CurrentSince Nov 13, 2019 Accepting new patients
Frisbie Memorial Hospital Medical CurrentSince Aug 26, 2004 Accepting new patients
Appledore Medical Group, Inc. Past Accepting new patients
Frisbie Health Services Past Accepting new patients

Locations

330 Borthwick Ave
Ste 107
Portsmouth, NH 03801
Phone (603) 433-8434

330 Borthwick Ave
Ste 201
Portsmouth, NH 03801
Phone (603) 431-5242

330 Borthwick Ave
Ste 308
Portsmouth, NH 03801
Phone (603) 431-5242

11 Whitehall Rd
Rochester, NH 03867
Phone (603) 330-7905

21 Whitehall Rd
Ste 301
Rochester, NH 03867
Phone (603) 330-3040

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Organizations & group practices 4

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 5

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": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1396829495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 WHITEHALL ROAD",
            "address_2": "SUITE 301",
            "city": "ROCHESTER",
            "state": "NH",
            "postal_code": "03867",
            "telephone_number": "603-692-6066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 WHITEHALL ROAD",
            "address_2": "SUITE 301",
            "city": "ROCHESTER",
            "state": "NH",
            "postal_code": "03867",
            "telephone_number": "603-692-6066",
            "fax_number": "603-664-7205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRASER",
        "first_name": "TARA",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NH",
            "license": "409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NH

Sources for this page

Verify at the official NPI Registry.