Individual provider Active NPI

Pamela Woodburn Comeau, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Littleton, NH
National Provider Identifier
1487126181
Registry record updated Nov 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
068034-23 Issued in NH
Practice address
25 Mount Eustis Rd
Littleton, NH 03561-3712
Phone
(603) 444-2462
Fax
(603) 444-3441
NPI assigned
Dec 19, 2018
Last updated
Nov 28, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 068034-23 NH Primary

Addresses

Primary practice location

25 Mount Eustis Rd
Littleton, NH 03561-3712

Mailing address

25 Mount Eustis Rd
Littleton, NH 03561-3712
Phone (603) 444-2462

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
I20191010000655 NH Practitioner - Nurse Practitioner 8628309390 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

14 King SQ
Whitefield, NH 03598-3346
Phone (603) 837-2333

25 Mt Eustis Rd
Littleton, NH 03561-3712
Phone (603) 444-2464

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ammonoosuc Community Health Services, Inc CurrentSince Apr 27, 2020 Accepting new patients
Ammonoosuc Community Health Services Inc CurrentSince Apr 27, 2020 Accepting new patients
New England Psychiatry and Wellness LLC Psychiatric/Mental Health CurrentSince Feb 25, 2024 Accepting new patients

Locations

461 Main St
Franconia, NH 03580
Phone (603) 377-8687

25 Mount Eustis Rd
Littleton, NH 03561
Phone (603) 444-2464

79 Swiftwater Rd
Woodsville, NH 03785
Phone (603) 747-3709

Interoperability endpoints

  • Direct secure messaging: pamelacomeau@achs.medalliesdirect.net

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1545177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606521600000",
    "number": "1487126181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 MOUNT EUSTIS RD",
            "city": "LITTLETON",
            "state": "NH",
            "postal_code": "035613712",
            "telephone_number": "603-444-2462",
            "fax_number": "603-444-3441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 MOUNT EUSTIS RD",
            "city": "LITTLETON",
            "state": "NH",
            "postal_code": "035613712",
            "telephone_number": "603-444-2462",
            "fax_number": "603-444-3441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMEAU",
        "first_name": "PAMELA",
        "middle_name": "WOODBURN",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-19",
        "last_updated": "2020-11-28",
        "certification_date": "2020-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NH",
            "license": "068034-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, NH

Sources for this page

Verify at the official NPI Registry.