NPIMap

Individual provider Active NPI

Galina Pavlencheva, DO

  • Family Medicine Physician
  • Penacook, NH
National Provider Identifier
1487213187
Registry record updated Aug 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
22823 Issued in NH
Practice address
4 Crescent St.
Penacook, NH 03303-1412
Phone
(603) 753-4302
Fax
(603) 227-7570
NPI assigned
Jun 7, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 22823 NH Primary

Addresses

Primary practice location

4 Crescent St.
Penacook, NH 03303-1412

Mailing address

4 Crescent St
Penacook, NH 03303-1412
Phone (603) 753-4302

Other practice location 1

301 Prospect Ave
Syracuse, NY 13203-1807
Phone (315) 448-5536

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gpavlencheva@crhc.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, NY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220825001554 NH Practitioner - Family Practice 8325422371 Reassigns benefits to 1 organization
I20260403000056 NY Practitioner - Family Practice 8325422371 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of RochesterGroup PAC ID 5799699088, 960 clinicians

Practice addresses (Care Compare)

42 Nichols St
Spencerport, NY 14559-2180
Phone (585) 637-7558

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22823NHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CMC D/B/a Urgent Care at Bedford Medical Park Family Medicine CurrentSince Jan 17, 2024 Accepting new patients
Catholic Medical Center Family Medicine Current Accepting new patients
Catholic Medical Center CurrentSince Jan 17, 2024 Accepting new patients
University of Rochester Past Accepting new patients

Locations

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

188 State Route 101
Bedford, NH 03110
Phone (603) 314-4700

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

Interoperability endpoints

  • Direct secure messaging: galina.pavlencheva@hca6.eclinicaldirectplus.com
  • Direct secure messaging: gpavlencheva@crhc.cernerdirect.com
  • Direct secure messaging: gpavlencheva581335@direct.urmc.rochester.edu

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.

Hospital & facility affiliations 4

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": "1559865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1487213187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 CRESCENT ST",
            "city": "PENACOOK",
            "state": "NH",
            "postal_code": "033031412",
            "telephone_number": "603-753-4302",
            "fax_number": "603-227-7570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 CRESCENT ST.",
            "city": "PENACOOK",
            "state": "NH",
            "postal_code": "033031412",
            "telephone_number": "603-753-4302",
            "fax_number": "603-227-7570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Prospect Ave",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132031807",
            "country_code": "US",
            "telephone_number": "315-448-5536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAVLENCHEVA",
        "first_name": "GALINA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-07",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "22823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gpavlencheva@crhc.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Concord Hospital Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "4 Crescent St.",
            "city": "Penacook",
            "state": "NH",
            "country_code": "US",
            "postal_code": "033031412",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Penacook, NH

Sources for this page

Verify at the official NPI Registry.