Novella Infusion LLC
Organization Active NPI Internal Medicine Physician · Merrimack, NH
NPI 1497364376 · NPPES record last updated Oct 2, 2025
Key facts
- NPI
- 1497364376
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- NOVELLA INFUSION LLC
- Practice address
- 297 Daniel Webster Hwy Ste 2
Merrimack, NH 03054-4451 - Phone
- (603) 836-9869
- NPI assigned
- Jul 28, 2020
- Organization subpart
- No
Authorized official
- Name
- Robert Amory Thorndike
- Title
- Manager
- Phone
- (781) 724-5916
Other NPIs on the same Medicare enrollment 1
Other NPIs with the same Medicare PAC ID 3
Practitioners 28
-
Tonya M Binder, FNP-BC, APRN
-
Amanda Currier, AGAC-NP
-
Evelyn A Graff, NP
-
Kari Gustad, APRN
-
Catherine Kingston, APRN
-
Shantelle Loiacono, FNP-C
-
Leah M Natali, APRN
-
Melanie Lynn Del Frari, APRN
-
Amber L Porter, OTR, FNP, APRN
-
Jean Schwartz, APRN
-
Kaitlin Ellen Devlin, FNP-C
-
Leann Lynn Swanson, FNP-BC
-
Andrew James Wagner, M.D.
-
Jennifer A Wright, APRN
-
Kristen Babicki, NP
-
Angela N Walton, FNP
-
Lynn Ann Consolmagno, APRN
-
Deena M Masten, APRN
-
Serenity Lynn Barlett, FNP-C
-
Linda Ann Fasci, APRN
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 30D2312367 | Novella Infusion, LLC | Certificate of waiver | Oct 9, 2026 |
| 30D2312369 | Novella Infusion, LLC | Certificate of waiver | Oct 9, 2026 |
| 30D2312371 | Novella Infusion, LLC | Certificate of waiver | Oct 9, 2026 |
| 30D2312372 | Novella Infusion, LLC | Certificate of waiver | Oct 9, 2026 |
| 30D2312397 | Novella Infusion, LLC | Certificate of waiver | Oct 9, 2026 |
| 30D2312399 | Novella Infusion, LLC | Certificate of waiver | Oct 9, 2026 |
| 30D2316850 | Novella Infusion LLC | Certificate of waiver | Jan 13, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NH, ME
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201119001301 | NH | Part B Supplier - Clinic/Group Practice | 1254742471 |
Receives reassigned benefits from 22 practitioners Practice locations: Concord, NH; Derry, NH; Lebanon, NH; Merrimack, NH; Portsmouth, NH; Rochester, NH; Bedford, NH |
| O20220912000854 | ME | Part B Supplier - Clinic/Group Practice | 1254742471 |
Receives reassigned benefits from 6 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Augusta, ME; Lewiston, ME; Portland, ME; Rockport, ME |
National Provider Directory
Locations
6 E Chestnut St
Ste 0
Augusta, ME 04330
6 E Chestnut St
Ste 100
Augusta, ME 04330
Phone (207) 582-8400
94 Auburn St
Ste 203
Portland, ME 04103
Phone (207) 747-1181
377 Commercial St
Unit 3
Rockport, ME 04856
Phone (207) 747-1181
171 Pleasant St
Ste 200
Concord, NH 03301
171 Pleasant St
Ste 201
Concord, NH 03301
14A Tsienneto Rd
Ste 300A
Derry, NH 03038
14 Tsienneto Rd
#A
Derry, NH 03038
875 Greenland Rd
Unit C3
Portsmouth, NH 03801
Phone (603) 436-8601
111 New Hampshire Ave
#2
Portsmouth, NH 03801
Phone (603) 319-6224
875 Greenland Rd
Unit C1
Portsmouth, NH 03801
Phone (603) 433-4992
375 Canal St
Ste 1
Brattleboro, VT 05301
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes | ||
| Multi-Specialty Clinic/Center | 261QM1300X |
Addresses
Primary practice location
297 Daniel Webster Hwy Ste 2
Merrimack, NH 03054-4451
Mailing address
1111B S Governors Ave Ste 3887
Dover, DE 19904-6903
Phone (603) 319-6224
Other practice location 1
14 Tsienneto Rd Ste 200A
Derry, NH 03038-1647
Phone (603) 836-9869
Other practice location 2
875 Greenland Rd Unit C3
Portsmouth, NH 03801-4163
Phone (603) 836-9869
Other practice location 3
6 E Chestnut St Ste L01
Augusta, ME 04330-5764
Phone (207) 747-1181
Other practice location 4
963 Sabattus St Unit 3
Lewiston, ME 04240-3332
Phone (207) 747-1181
Other practice location 5
195 Mechanic St Ste 2
Lebanon, NH 03766-1545
Phone (603) 836-9869
Other practice location 6
160 S River Rd Ste 101A
Bedford, NH 03110-6927
Phone (603) 836-9869
Other practice location 7
120 Washington St Unit 101
Rochester, NH 03839-5534
Phone (603) 836-9869
Other practice location 8
111 New Hampshire Ave # 2
Portsmouth, NH 03801-2864
Phone (603) 319-6224
Other practice location 9
875 Greenland Rd Unit C3
Portsmouth, NH 03801-4163
Phone (603) 836-9869
Other practice location 10
171 Pleasant St Ste 201
Concord, NH 03301-2625
Phone (603) 836-9869
Other practice location 11
14 Tsienneto Rd Ste 200
Derry, NH 03038-1647
Phone (603) 836-9869
Other practice location 12
94 Auburn St Ste 203
Portland, ME 04103-2100
Phone (603) 836-9869
Other practice location 13
9 Washington Pl Ste 201
Bedford, NH 03110-6750
Phone (603) 836-9869
Other providers in Merrimack, NH
- Cassandra Nimblett
- Wei Ning
- Julianne S Noonan
- Northeast Endodontic Specialists, PA
- Northstar Endodontic Partners PLLC
- Nurses PRN Inc
- Kaylie O'Leary
- Patricia O'Neil
- Cathy Ann Odonnell
- Grace Palmer
All providers in Merrimack, NH · Internal Medicine Physician in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 2, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.