Active NPI
Kimberley Omahoney
- Family Nurse Practitioner
- Newmarket, NH
National Provider Identifier
1477955722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 059529-23
- 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.
-
- Federally Qualified Health Center (FQHC)
- Portsmouth, NH
- NPI 1114935871
NH
-
- Federally Qualified Health Center (FQHC)
- Somersworth, NH
- NPI 1578854287
-
- Internal Medicine Physician
- Harvard, MA
- NPI 1790273563
Family
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 77.48 of 100
- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 059529-23 | NH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greater Seacoast Community Health | Current | Accepting new patients | |
| Greater Seacoast Community Health | Current | Accepting new patients | |
| Ibis Health Services-New Hampshire PLLC | Current | 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | CNP141047 | ME | |
| Family Nurse Practitioner | 363LF0000X | 059529-23 | NH | Primary |
Addresses
NPPES NPI RegistryPrimary 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
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2019; 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.