NPIMap

Individual provider Active NPI

Carolyn G Claussen, MD

  • Family Medicine Physician
  • Bedford, NH
National Provider Identifier
1477580975
Registry record updated Oct 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
10609 Issued in NH
Practice address
Willowbend Family Practice
5 Washington Place
Bedford, NH 03110
Phone
(603) 663-8060
Fax
(603) 663-8066
NPI assigned
Jun 28, 2006
Last updated
Oct 19, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 10609 NH Primary

Addresses

Primary practice location

Willowbend Family Practice
5 Washington Place
Bedford, NH 03110

Mailing address

Willowbend Family Practice
5 Washington Place
Bedford, NH 03110
Phone (603) 663-8060

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address staff_wb@gohnh.allscriptsdirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050628000011 NH Practitioner - Family Practice 8729023932 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Connecticut School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Appledore Medical Group IncGroup PAC ID 5698666154, 197 clinicians

Practice addresses (Care Compare)

5 Washington PL
Suite 1a
Bedford, NH 03110-6771
Phone (603) 633-8060

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Medical Center CurrentSince Jul 7, 1999 Accepting new patients
Appledore Medical Group Dba Woodbury Family Practice Family Medicine CurrentSince Feb 6, 2025 Accepting new patients
Catholic Medical Center CurrentSince Nov 11, 2020 Accepting new patients
Appledore Medical Group, Inc Family Medicine CurrentSince Feb 6, 2025 Accepting new patients
Catholic Medical Center Family Medicine CurrentSince Jul 7, 1999 Accepting new patients
Appledore Medical Group, Inc. Family Medicine Past Accepting new patients
Elliot Physicians Network Family Medicine Past Accepting new patients
Catholic Medical Center Ppa Past Accepting new patients

Locations

20 Washington Pl
Bedford, NH 03110
Phone (603) 644-5900

20 Washington Pl
Ste 1
Bedford, NH 03110
Phone (603) 644-5133

5 Washington Pl
Ste 1A
Bedford, NH 03110
Phone (603) 663-8060

195 McGregor St
Ste 310
Manchester, NH 03102

57 Webster St
Manchester, NH 03104
Phone (603) 622-6491

775 S Main St
Manchester, NH 03102
Phone (603) 625-6198

330 Borthwick Ave
Ste 201
Portsmouth, NH 03801
Phone (603) 431-5242

330 Borthwick Ave
Ste 308
Portsmouth, NH 03801
Phone (603) 431-5242

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: carolyn.claussen@hca6.eclinicaldirectplus.com

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
Catholic Medical CenterManchester, NH, CCN 301823 Federally qualified health center Other Jan 28, 2016

Owned or controlled facilities with NPI records 2

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

Organizations & group practices 8

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 7

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": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603065600000",
    "number": "1477580975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "WILLOWBEND FAMILY PRACTICE",
            "address_2": "5 WASHINGTON PLACE",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "03110",
            "telephone_number": "603-663-8060",
            "fax_number": "603-663-8066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WILLOWBEND FAMILY PRACTICE",
            "address_2": "5 WASHINGTON PLACE",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "03110",
            "telephone_number": "603-663-8060",
            "fax_number": "603-663-8066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAUSSEN",
        "first_name": "CAROLYN",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "10609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "staff_wb@gohnh.allscriptsdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "WILLOWBEND FAMILY PRACTICE",
            "address_2": "5 WASHINGTON PLACE",
            "city": "BEDFORD",
            "state": "NH",
            "country_code": "US",
            "postal_code": "03110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bedford, NH

Sources for this page

Verify at the official NPI Registry.