Individual provider Active NPI

Michelle D Momenee, APRN

  • Nurse Practitioner
  • Manchester, NH
National Provider Identifier
1407135569
Registry record updated Sep 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
045679-23 Issued in NH
Practice address
185 Queen City Ave
Wound Care Dept
Manchester, NH 03101-7121
Phone
(603) 663-3630
Fax
(603) 663-3669
NPI assigned
Aug 8, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2016

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 045679-23 NH Primary

Addresses

Primary practice location

185 Queen City Ave
Wound Care Dept
Manchester, NH 03101-7121

Mailing address

185 Queen City Ave
Wound Care Dept
Manchester, NH 03101-7121
Phone (603) 663-3630

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
I20110926000842 NH Practitioner - Nurse Practitioner 1254502149 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Promed Preferred NH, PCGroup PAC ID 1557862448, 2 clinicians
Appledore Medical Group IncGroup PAC ID 5698666154, 197 clinicians

Practice addresses (Care Compare)

1 Tara Blvd
Suite 200
Nashua, NH 03062-2809
Phone (845) 738-8770

88 McGregor St
Suite 101B
Manchester, NH 03102-3760
Phone (603) 663-6000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
045679-23NHMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Appledore Medical Group, Inc CurrentSince Feb 1, 2025 Accepting new patients
Catholic Medical Center CurrentSince Jul 13, 2022 Accepting new patients
Catholic Medical Center CurrentSince Jun 24, 2024 Accepting new patients
Catholic Medical Center CurrentSince Jul 13, 2022 Accepting new patients
Appledore Medical Group, Inc. CurrentSince Feb 1, 2025 Accepting new patients
Promed Preferred NH, PC CurrentSince Jan 27, 2026 Accepting new patients

Locations

1 Elliot Way
Manchester, NH 03103
Phone (603) 663-2271

87 McGregor St
Ste 3100
Manchester, NH 03102
Phone (603) 627-1887

195 McGregor St
Ste 310
Manchester, NH 03102

88 McGregor St
Ste 204
Manchester, NH 03102
Phone (603) 663-6661

88 McGregor St
Ste 101B
Manchester, NH 03102
Phone (603) 663-6000

100 McGregor St
Manchester, NH 03102
Phone (603) 663-6931

1 Tara Blvd
Ste 200
Nashua, NH 03062
Phone (603) 242-2296

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

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

329 S Oyster Bay Rd
Plainview, NY 11803
Phone (714) 452-1961

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

Organizations & group practices 6

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 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": "1312761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473292800000",
    "number": "1407135569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 QUEEN CITY AVE",
            "address_2": "WOUND CARE DEPT",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031017121",
            "telephone_number": "603-663-3630",
            "fax_number": "603-663-3669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 QUEEN CITY AVE",
            "address_2": "WOUND CARE DEPT",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031017121",
            "telephone_number": "603-663-3630",
            "fax_number": "603-663-3669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOMENEE",
        "first_name": "MICHELLE",
        "middle_name": "D",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-08",
        "last_updated": "2016-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NH",
            "license": "045679-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

Verify at the official NPI Registry.