Susan Nichols, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0586 Issued in NH

Practice address

207 S Main St
Newmarket, NH 03857-1843

Phone

(603) 659-3106

Fax

(603) 659-8003

NPI assigned

Dec 8, 2005

Last updated

Sep 23, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Susan Collins Former name

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

Specialty

Physician Assistant

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lamprey Health Care IncGroup PAC ID 3577535319, 52 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northeast Professional Registry of Nurses, Inc. Home health agency, Exeter, NH, CCN 307021

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: susan.nichols.1@28541.direct.athenahealth.com

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.

• Lamprey Health Care Inc

  • Federally Qualified Health Center (FQHC)
  • Newmarket, NH
  • NPI 1568412237
  Medicare reassignment Care Compare group
• Lamprey Health Care Inc

  dba Healthy Together

  • Federally Qualified Health Center (FQHC)
  • Derry, NH
  • NPI 1710592977
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Northeast Professional Registry of Nurses Inc

  dba Beth Israel Lahey Health at Home

  • Home Health Agency
  • Exeter, NH
  • NPI 1659108074
  Care Compare affiliation

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

{
    "created_epoch": "1134000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632355200000",
    "number": "1508841958",
    "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",
            "telephone_number": "603-659-3106",
            "fax_number": "603-659-8003"
        },
        {
            "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": "603-659-3106",
            "fax_number": "603-659-8003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "128 Route 27",
            "address_2": "Lamprey Health Care",
            "address_purpose": "LOCATION",
            "city": "Raymond",
            "state": "NH",
            "postal_code": "030771220",
            "country_code": "US",
            "telephone_number": "603-895-3351",
            "fax_number": "603-895-0773",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "SUSAN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-08",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NH",
            "license": "0586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3071924",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "COLLINS",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Kyle Petsel, LMT
• Melissa M Potter, LICSW

• Physician Assistant in Newmarket, NH
• Providers in Newmarket, NH by specialty
• Physician Assistant in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; 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.

Verify at the official NPI Registry.