Individual provider Active NPI

Nancy S. Husarik, MD

  • Pediatrics Physician
  • Raymond, NH
National Provider Identifier
1467443168
Registry record updated Jul 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
11505 Issued in NH
Practice address
15 Freetown Rd
Raymond, NH 03077-2358
Phone
(603) 895-8000
Fax
(603) 895-8099
NPI assigned
Nov 2, 2005
Last updated
Jul 17, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2007

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 11505 NH
Pediatrics Physician 208000000X 11505 NH Primary

Addresses

Primary practice location

15 Freetown Rd
Raymond, NH 03077-2358

Mailing address

15 Freetown Rd
Raymond, NH 03077-2358
Phone (603) 895-8000

Other identifiers 7

IdentifierTypeStateIssuer
H28192OtherNHANTHEM REFERRING UPIN
NH2379OtherNHHPHC PIN
2727667OtherNHAETNA PIN
011505OtherNHTUFTS PIN
30201960MedicaidNH
3901080OtherNHUHC PIN
579620OtherNHCIGNA PIN

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
I20091007000064 NH Practitioner - Internal MedicinePractitioner - Pediatric Medicine 3577609460 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
University of Nebraska College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elliot Physicians NetworkGroup PAC ID 6406743988, 78 clinicians

Practice addresses (Care Compare)

15 Freetown Rd
Raymond, NH 03077-2358
Phone (603) 895-8000

275 Mammoth Rd
Manchester, NH 03109-4133

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Elliot Physicians Network Internal Medicine CurrentSince Apr 1, 2002 Accepting new patients

Locations

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

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

15 Freetown Rd
Raymond, NH 03077
Phone (603) 895-8000

15 Freetown Rd
Ste 1
Raymond, NH 03077

15 Freetown Rd
Ste 105
Raymond, NH 03077

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Elliot Hospital of the City of ManchesterManchester, NH, CCN 30S012 Hospital Corporate Director Mar 17, 2022

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

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 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": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184630400000",
    "number": "1467443168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 FREETOWN RD",
            "city": "RAYMOND",
            "state": "NH",
            "postal_code": "030772358",
            "telephone_number": "603-895-8000",
            "fax_number": "603-895-8099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 FREETOWN RD",
            "city": "RAYMOND",
            "state": "NH",
            "postal_code": "030772358",
            "telephone_number": "603-895-8000",
            "fax_number": "603-895-8099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSARIK",
        "first_name": "NANCY",
        "middle_name": "S.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-02",
        "last_updated": "2007-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NH",
            "license": "11505",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NH",
            "license": "11505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM REFERRING UPIN",
            "identifier": "H28192",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HPHC PIN",
            "identifier": "NH2379",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PIN",
            "identifier": "2727667",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS PIN",
            "identifier": "011505",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30201960",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC PIN",
            "identifier": "3901080",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PIN",
            "identifier": "579620",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raymond, NH

Sources for this page

Verify at the official NPI Registry.