Individual provider Active NPI

Oleg Gerasimov, APRN, FNP

  • Nurse Practitioner
  • Concord, NH
National Provider Identifier
1497417109
Registry record updated Oct 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
072141-23 Issued in NH
Practice address
281 N State St
Concord, NH 03301-3227
Phone
(603) 271-7936
NPI assigned
Oct 10, 2021
Last updated
Oct 10, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 072141-23 NH Primary

Addresses

Primary practice location

281 N State St
Concord, NH 03301-3227

Mailing address

893 French Pond Rd
North Haverhill, NH 03774-4728
Phone (603) 243-0442

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address Thomas.A.Groblewski@doc.nh.gov Direct
Direct Messaging Address Thomas.A.Groblewski@doc.nh.gov Direct

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
I20240326003276 NH Practitioner - Nurse Practitioner 0143667139 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Littleton Hospital AssociationGroup PAC ID 6901796556, 111 clinicians

Practice addresses (Care Compare)

600 Saint Johnsbury Rd
Littleton, NH 03561-3442
Phone (603) 444-9000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Littleton Hospital Association CurrentSince Apr 1, 2024 Accepting new patients
Littleton Hospital Association CurrentSince Apr 1, 2024 Accepting new patients
Littleton Hospital Association Past Accepting new patients
Littleton Hospital Association Past Accepting new patients

Locations

11 Riverglen Ln
Ste 100
Littleton, NH 03561

11 Riverglen Ln
Ste 150
Littleton, NH 03561
Phone (603) 259-1659

580 Saint Johnsbury Rd
Littleton, NH 03561
Phone (603) 444-0385

600 Saint Johnsbury Rd
Littleton, NH 03561
Phone (603) 444-9000

Interoperability endpoints

  • Direct secure messaging: thomas.a.groblewski@doc.nh.gov

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1633824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633824000000",
    "number": "1497417109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "893 FRENCH POND RD",
            "city": "NORTH HAVERHILL",
            "state": "NH",
            "postal_code": "037744728",
            "telephone_number": "603-243-0442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 N STATE ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033013227",
            "telephone_number": "603-271-7936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERASIMOV",
        "first_name": "OLEG",
        "credential": "APRN, FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-10",
        "last_updated": "2021-10-10",
        "certification_date": "2021-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NH",
            "license": "072141-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Thomas.A.Groblewski@doc.nh.gov",
            "affiliation": "N",
            "endpointDescription": "supervisor",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Thomas.A.Groblewski@doc.nh.gov",
            "address_1": "281 N State St",
            "city": "Concord",
            "state": "NH",
            "country_code": "US",
            "postal_code": "033013227",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Thomas.A.Groblewski@doc.nh.gov",
            "affiliation": "N",
            "endpointDescription": "supervisor",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "281 N State St",
            "city": "Concord",
            "state": "NH",
            "country_code": "US",
            "postal_code": "033013227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Concord, NH

Sources for this page

Verify at the official NPI Registry.