Individual provider Active NPI

Kimberley Omahoney

  • Family Nurse Practitioner
  • Newmarket, NH
National Provider Identifier
1477955722
Registry record updated Apr 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
059529-23 Issued in NH
Practice address
207 S Main St
Newmarket, NH 03857-1843
Phone
(603) 659-2494
Fax
(603) 659-5892
NPI assigned
Sep 18, 2014
Sex
Female
Sole proprietor
No

Organizations & group practices 4

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.

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
77.48 of 100Reported as group
Quality
45
Improvement activities
40
Cost
81.6

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161107002634 NH Practitioner - Nurse Practitioner 0446572184 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
059529-23NHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Seacoast Community Health CurrentSince Aug 27, 2016 Accepting new patients
Greater Seacoast Community Health Current Accepting new patients
Ibis Health Services-New Hampshire PLLC CurrentSince Apr 1, 2022 Accepting new patients
Ibis Health Services- Massachusetts, LLC Family Past Accepting new patients

Locations

215 Ayer Rd
Unit 797
Harvard, MA 01451

8 Greenleaf Woods Dr
Unit 100
Portsmouth, NH 03801
Phone (603) 422-8202

100 Campus Dr
Ste 12
Portsmouth, NH 03801
Phone (603) 422-8208

311 Route 108
Somersworth, NH 03878
Phone (603) 422-8208

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CNP141047 ME
Family Nurse Practitioner 363LF0000X 059529-23 NH Primary

Addresses

NPPES NPI Registry

Primary practice location

207 S Main St
Newmarket, NH 03857-1843

Mailing address

207 S Main St
Newmarket, NH 03857-1843

Other names 1

NPPES NPI Registry
  • Kimberley Chase Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 26, 2019.

{
    "created_epoch": "1410998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556236800000",
    "number": "1477955722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 S MAIN ST",
            "city": "NEWMARKET",
            "state": "NH",
            "postal_code": "038571843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 S MAIN ST",
            "city": "NEWMARKET",
            "state": "NH",
            "postal_code": "038571843",
            "telephone_number": "603-659-2494",
            "fax_number": "603-659-5892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMAHONEY",
        "first_name": "KIMBERLEY",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-18",
        "last_updated": "2019-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP141047",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "059529-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLEY",
            "last_name": "CHASE",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newmarket, NH

Sources for this page

Verify at the official NPI Registry.