Individual provider Active NPI

Carol Pelletier, ARNP,DNP

  • Nurse Practitioner
  • Nashua, NH
National Provider Identifier
1407833155
Registry record updated Sep 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
032840-23-03 Issued in NH
Practice address
505 W Hollis St
Suite 106
Nashua, NH 03062-1358
Phone
(603) 577-1613
Fax
(603) 809-4934
NPI assigned
Dec 23, 2005
Last updated
Sep 25, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2019

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 032840-23-03 NH Primary

Addresses

Primary practice location

505 W Hollis St
Suite 106
Nashua, NH 03062-1358

Mailing address

505 W Hollis St
Suite 106
Nashua, NH 03062-1358
Phone (603) 577-1613

Other identifiers 1

IdentifierTypeStateIssuer
500018329MedicaidNH

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
I20060126000180 NH Practitioner - Nurse Practitioner 9436163789 Practice locations: Nashua, NH

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Ever After, LLC PastSince Oct 11, 2020 Accepting new patients
Carol a Pelletier Aprn,DNP PastSince Jan 4, 2012 Accepting new patients
Foundation Medical Partners Inc. Past Accepting new patients
Specialized Health Management Inc Nurse Practitioner PastSince Jul 3, 2020 Accepting new patients

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569369600000",
    "number": "1407833155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 W HOLLIS ST",
            "address_2": "SUITE 106",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030621358",
            "telephone_number": "603-577-1613",
            "fax_number": "603-809-4934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 W HOLLIS ST",
            "address_2": "SUITE 106",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030621358",
            "telephone_number": "603-577-1613",
            "fax_number": "603-809-4934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLETIER",
        "first_name": "CAROL",
        "name_prefix": "Ms.",
        "credential": "ARNP,DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-23",
        "last_updated": "2019-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NH",
            "license": "032840-23-03",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500018329",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

Verify at the official NPI Registry.