Active NPI
Pieter R Reppenhagen, PA-C
- Physician Assistant
- Salem, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2075
- Practice address
- 16 Pelham Rd Ste 1
Salem, NH 03079-3077 - Phone
- (978) 794-1946
- NPI assigned
- Nov 7, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2075 | NH | Primary |
Addresses
Primary practice location
16 Pelham Rd Ste 1
Salem, NH 03079-3077
Mailing address
575 Turnpike St Ste 11
North Andover, MA 01845-5937
Phone (978) 794-1946
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
103 Boulder Point Dr
Plymouth, NH 03264-3168
Phone (603) 224-3368
150 Flanders Rd
Westborough, MA 01581-1017
Phone (781) 890-2133
16 Pelham Rd
Suite 1
Salem, NH 03079-3077
Phone (603) 898-2244
323 Lowell St
Andover, MA 01810-4659
Phone (978) 794-1946
62 Brown St
Suite 303
Haverhill, MA 01830-6790
Phone (978) 794-1946
Hospital & facility affiliations
- Merrimack Health Lawrence Hospital
- Holy Family Hospital
- Parkland Medical Center
- Northeast Rehabilitation Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 74.33 of 100
- Quality
- 45.66
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 68.76
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eone Medical Subsidiary PLLC | Current | Accepting new patients | |
| Northeast Orthopaedic Alliance PLLC | Current | Accepting new patients | |
| Eone Medical PLLC | Current | Accepting new patients |
Locations
62 Brown St
Ste 303
Haverhill, MA 01830
Phone (978) 556-9060
575 Turnpike St
Ste 11
North Andover, MA 01845
Phone (978) 327-6561
150 Flanders Rd
Westborough, MA 01581
Phone (508) 870-2222
103 Boulder Point Dr
Plymouth, NH 03264
Phone (603) 536-1284
16 Pelham Rd
Ste 1
Salem, NH 03079
Phone (603) 898-2244
Interoperability endpoints
- pieter.reppenhagen.3@26085.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Orthopaedic Surgery Physician
- Salem, NH
- NPI 1407510712
-
- Orthopaedic Surgery Physician
- Andover, MA
- NPI 1629796321
-
- Orthopaedic Surgery Physician
- Salem, NH
- NPI 1215680756
-
- Orthopaedic Surgery Physician
- Andover, MA
- NPI 1629796305
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Derry, NH
- NPI 1174570683
-
- Rehabilitation Hospital
- Salem, NH
- NPI 1255354288
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Lawrence, MA
- NPI 1750381281
-
- General Acute Care Hospital
- Methuen, MA
- NPI 1265267991
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715040000000",
"number": "1477260701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "575 TURNPIKE ST STE 11",
"city": "NORTH ANDOVER",
"state": "MA",
"postal_code": "018455937",
"telephone_number": "978-794-1946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 PELHAM RD STE 1",
"city": "SALEM",
"state": "NH",
"postal_code": "030793077",
"telephone_number": "978-794-1946"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REPPENHAGEN",
"first_name": "PIETER",
"middle_name": "R",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-11-07",
"last_updated": "2024-05-07",
"certification_date": "2024-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NH",
"license": "2075",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salem, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.