Alice Marie Millspaugh, APRN, BC, GNP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

131614 Issued in MA

Practice address

50 Pheasant Rd
Peterborough, NH 03458-2110

Phone

(603) 924-7267

Fax

(603) 924-7885

NPI assigned

Jan 11, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Alice Marie Brockway Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Alignmed Partners, PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Gardendale, AL
  • NPI 1881109452

  NH

  Medicare reassignment NPD

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470355200000",
    "number": "1467502872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 PHEASANT RD",
            "city": "PETERBOROUGH",
            "state": "NH",
            "postal_code": "034582110",
            "telephone_number": "603-924-7267",
            "fax_number": "603-924-7885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 PHEASANT RD",
            "city": "PETERBOROUGH",
            "state": "NH",
            "postal_code": "034582110",
            "telephone_number": "603-924-7267",
            "fax_number": "603-924-7885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLSPAUGH",
        "first_name": "ALICE",
        "middle_name": "MARIE",
        "credential": "APRN, BC, GNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2016-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MA",
            "license": "131614",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NH",
            "license": "032065-23-06",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NY",
            "license": "F340734-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALICE",
            "last_name": "BROCKWAY",
            "middle_name": "MARIE",
            "credential": "APRN, BC, GNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Terrence R McNamara, DO
• Anita M Mendes, LICSW
• Deborah Meuse, LIC AC
• Ronald E Michalak, MD
• Christine Danielle Miller, M.S, SLP
• John Frederick Minteer, O.D.
• Teagan Mitchell
• Brittany Molino, PA-C
• Monadnock Community Hospital
• Monadnock Community Hospital

• Gerontology Nurse Practitioner in Peterborough, NH
• Providers in Peterborough, NH by specialty
• Gerontology Nurse Practitioner in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.