Individual provider Active NPI

Megan E. Doherty, APRN

  • Obstetrics & Gynecology Nurse Practitioner
  • Bedford, NH
National Provider Identifier
1427392158
Registry record updated Nov 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
056787-23 Issued in NH
Practice address
201 Riverway Place
Bedford, NH 03110
Phone
(603) 668-8400
Fax
(603) 626-7368
NPI assigned
Nov 19, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Women's Health Care Registered Nurse 163WW0101X 056787-21 NH
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 056787-23 NH Primary

Addresses

Primary practice location

201 Riverway Place
Bedford, NH 03110

Mailing address

201 Riverway Place
Bedford, NH 03110
Phone (603) 668-8400

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
I20130123000064 NH Practitioner - Nurse Practitioner 9739332834 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bedford Commons OB GYN PAGroup PAC ID 3577535673, 24 clinicians

Practice addresses (Care Compare)

201 Riverway PL
Bedford, NH 03110-6763
Phone (603) 668-8400

Hospital & facility affiliations

  • Elliot Hospital Hospital, Manchester, NH, CCN 300012

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
056787-21NHMDAmbulatory Women's Health Care Registered Nurse
056787-23NHMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bedford Commons OB GYN PA CurrentSince Dec 5, 2012 Accepting new patients

Locations

201 Riverway Pl
Bedford, NH 03110
Phone (603) 494-0682

6 Tsienneto Rd
Ste 202
Derry, NH 03038
Phone (603) 695-2560

50 Michels Way
Unit 203
Londonderry, NH 03053

49 Range Rd
Ste 109
Windham, NH 03087
Phone (603) 432-8802

Interoperability endpoints

  • Direct secure messaging: megandoherty@bcobgyn.allscriptsdirect.net

Organizations & group practices 1

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 1

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": "1353283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353283200000",
    "number": "1427392158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 RIVERWAY PLACE",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "03110",
            "telephone_number": "603-668-8400",
            "fax_number": "603-626-7368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 RIVERWAY PLACE",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "03110",
            "telephone_number": "603-668-8400",
            "fax_number": "603-626-7368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOHERTY",
        "first_name": "MEGAN",
        "middle_name": "E.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-19",
        "last_updated": "2012-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WW0101X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Women's Health Care, Ambulatory",
            "state": "NH",
            "license": "056787-21",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "NH",
            "license": "056787-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, NH

Sources for this page

Verify at the official NPI Registry.