Mary Ford, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

084024-23 Issued in NH

Practice address

20 W Park St Ste 420
Lebanon, NH 03766-1322

Phone

(603) 667-6743

Fax

(866) 309-2937

NPI assigned

Aug 16, 2021

Last updated

Aug 16, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Change With More Ease LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Lebanon, NH
  • NPI 1831865153
  Medicare reassignment NPD Authorized official
• Sebasticook Valley Health Care Facility Inc.

  • Skilled Nursing Facility
  • Pittsfield, ME
  • NPI 1811093909
  NPD Authorized official

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

{
    "created_epoch": "1629072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1518632124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 W PARK ST STE 420",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037661322",
            "telephone_number": "603-667-6743",
            "fax_number": "866-309-2937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 W PARK ST STE 420",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037661322",
            "telephone_number": "603-667-6743",
            "fax_number": "866-309-2937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "MARY",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-16",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NH",
            "license": "084024-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa A Fontaine, CRNA
• Robert Stephens Foote, M.D.
• Andrew Forauer, MD
• Laura Ann Forauer, APRN
• Victoria Forbes, MD
• Melissa Elaine Mott Ford, PA-C
• Shane K Ford, M.D.
• Stanwood Ford
• Lindsey Ann Forsyth, FNP-C
• Michael William Fort, MD, MPH

• Psychiatric/Mental Health Nurse Practitioner in Lebanon, NH
• Providers in Lebanon, NH by specialty
• Psychiatric/Mental Health Nurse Practitioner in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.