Individual provider Active NPI

Elizabeth Diane Krainchich, CNM

  • Advanced Practice Midwife
  • Dover, NH
National Provider Identifier
1467902965
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
077160-23 Issued in NH
Practice address
15 Old Rollinsford Rd Ste 102
Dover, NH 03820-2869
Phone
(603) 749-4963
Fax
(603) 742-7094
NPI assigned
Oct 7, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 077160-23 NH Primary

Addresses

Primary practice location

15 Old Rollinsford Rd Ste 102
Dover, NH 03820-2869

Mailing address

PO Box 810
Hanover, NH 03755-0810
Phone (603) 308-1467

Other practice location 1

5 Washington Pl
Bedford, NH 03110-6736
Phone (603) 695-2500

Other identifiers 1

IdentifierTypeStateIssuer
3119521MedicaidNH

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191108000970 NH Practitioner - Certified Nurse Midwife (CNM) 4789947680 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dartmouth-Hitchcock ClinicGroup PAC ID 4183537509, 1,445 clinicians

Practice addresses (Care Compare)

1 Elliot Way
Manchester, NH 03103-3502
Phone (603) 669-5300

1 Medical Ctr Dr
Lebanon, NH 03756-1000
Phone (603) 650-5000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Hitchcock Memorial Hospital CurrentSince Aug 7, 2023 Accepting new patients
Mary Hitchcock Memorial Hospital Current Accepting new patients
Dartmouth-Hitchcock Clinic CurrentSince Aug 7, 2023 Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince Aug 7, 2023 Accepting new patients
Catholic Medical Center CurrentSince Dec 18, 2023 Accepting new patients
Catholic Medical Center CurrentSince Dec 18, 2023 Accepting new patients
Manchester Health Services, LLC Past Accepting new patients
Catholic Medical Center Past Accepting new patients
Elliot Hospital of the City of Manchester Past Accepting new patients
Amoskeag Health Past Accepting new patients

Locations

25 S River Rd
Bedford, NH 03110
Phone (603) 626-4392

5 Washington Pl
Bedford, NH 03110
Phone (603) 314-4567

789 Central Ave
Dover, NH 03820
Phone (603) 740-2832

1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922

88 McGregor St
Ste 204
Manchester, NH 03102
Phone (603) 663-6661

100 McGregor St
Ste B600A
Manchester, NH 03102
Phone (603) 626-2340

100 McGregor St
Manchester, NH 03102
Phone (603) 663-6931

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

Interoperability endpoints

  • Direct secure messaging: ekrainchich529144@direct.dartmouth-hitchcock.org
  • FHIR API: https://api.platform.athenahealth.com/28516/brand/1/csg/1/fhir/r4
  • Direct secure messaging: elizabeth.krainchich.1@28516.direct.athenahealth.com

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1475798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1467902965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 810",
            "city": "HANOVER",
            "state": "NH",
            "postal_code": "037550810",
            "telephone_number": "603-308-1467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 OLD ROLLINSFORD RD STE 102",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038202869",
            "telephone_number": "603-749-4963",
            "fax_number": "603-742-7094"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Washington Pl",
            "address_purpose": "LOCATION",
            "city": "Bedford",
            "state": "NH",
            "postal_code": "031106736",
            "country_code": "US",
            "telephone_number": "603-695-2500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRAINCHICH",
        "first_name": "ELIZABETH",
        "middle_name": "DIANE",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-07",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NH",
            "license": "077160-23",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3119521",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, NH

Sources for this page

Verify at the official NPI Registry.