Individual provider Active NPI

Erica Schissel, MD

  • Internal Medicine Physician
  • Bedford, NH
National Provider Identifier
1407230295
Registry record updated Dec 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
21047 Issued in NH
Practice address
25 Leavy Dr
Bedford, NH 03110-4437
Phone
(603) 314-6500
NPI assigned
Jul 12, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 301432-01 NY
Internal Medicine Physician 207R00000X 21047 NH Primary

Addresses

Primary practice location

25 Leavy Dr
Bedford, NH 03110-4437

Mailing address

25 Leavy Dr
Bedford, NH 03110-4437
Phone (603) 314-6500

Other practice location 1

374 Stockholm St
Brooklyn, NY 11237-4006
Phone (718) 963-7272

Other practice location 2

525 E 68th St
New York, NY 10065-4870
Phone (212) 746-7000

Other practice location 3

6010 Bay Pkwy # 9
Brooklyn, NY 11204-6079
Phone (844) 644-4325

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210113002420 NH Practitioner - Internal MedicinePractitioner - Pediatric Medicine 7214366624 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Elliot Physicians NetworkGroup PAC ID 6406743988, 78 clinicians

Practice addresses (Care Compare)

25 Leavey Dr
Bedford, NH 03110-4437
Phone (603) 472-7233

275 Mammoth Rd
Manchester, NH 03109-4133

Hospital & facility affiliations

  • Elliot Hospital Hospital, Manchester, NH, CCN 300012
  • Southern NH Medical Center Hospital, Nashua, NH, CCN 300020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
301432-01NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elliot Physicians Network Internal Medicine CurrentSince Jan 1, 2021 Accepting new patients
Elliot Hospital of the City of Manchester PastSince Jan 3, 2021 Accepting new patients
Elliot Physicians Network Internal Medicine Past Accepting new patients

Locations

25 Leavey Dr
Bedford, NH 03110
Phone (603) 472-7233

275 Mammoth Rd
Ste 1
Manchester, NH 03109
Phone (603) 663-3222

Organizations & group practices 3

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 2

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": "1436659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609200000000",
    "number": "1407230295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 LEAVY DR",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031104437",
            "telephone_number": "603-314-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 LEAVY DR",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031104437",
            "telephone_number": "603-314-6500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "374 Stockholm St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112374006",
            "country_code": "US",
            "telephone_number": "718-963-7272",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "525 E 68th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100654870",
            "country_code": "US",
            "telephone_number": "212-746-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6010 Bay Pkwy # 9",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112046079",
            "country_code": "US",
            "telephone_number": "844-644-4325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHISSEL",
        "first_name": "ERICA",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-12",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "301432-01",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NH",
            "license": "21047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, NH

Sources for this page

Verify at the official NPI Registry.