Individual provider Active NPI

Shannon Rose Scenna, APRN

  • Family Nurse Practitioner
  • Concord, NH
National Provider Identifier
1538998901
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
075609-23 Issued in NH
Practice address
8 Loudon Rd
Concord, NH 03301-5300
Phone
(603) 226-9000
Fax
(603) 226-2268
NPI assigned
Aug 1, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 075609-23 NH Primary

Addresses

Primary practice location

8 Loudon Rd
Concord, NH 03301-5300

Mailing address

360 US Highway 1 Byp Unit 102
Portsmouth, NH 03801-7105
Phone (603) 410-6700

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
I20240925002479 NH Practitioner - Nurse Practitioner 2062953425 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Convenientmd - FFS UC LLCGroup PAC ID 5193186492, 397 clinicians

Practice addresses (Care Compare)

8 Loudon Rd
Concord, NH 03301-5300
Phone (603) 226-9000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Convenientmd - FFS UC LLC CurrentSince Dec 1, 2024 Accepting new patients
Convenientmd - FFS UC LLC CurrentSince Dec 1, 2024 Accepting new patients
Southern New Hampshire Internal Medicine Associates, PLLC CurrentSince Aug 1, 2024 Accepting new patients
Convenientmd - FFS UC LLC Current Accepting new patients

Locations

160 S River Rd
Ste 101A
Bedford, NH 03110
Phone (603) 216-3800

3 Nashua Rd
Bedford, NH 03110
Phone (603) 472-6700

8 Loudon Rd
Concord, NH 03301
Phone (603) 226-9000

6 Tsienneto Rd
Ste 300
Derry, NH 03038
Phone (603) 216-0479

360 US Highway 1 Byp
Unit 102
Portsmouth, NH 03801
Phone (603) 410-6700

49 Range Rd
Ste 110
Windham, NH 03087

49 Range Rd
#100
Windham, NH 03087

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1722470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1538998901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 US HIGHWAY 1 BYP UNIT 102",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038017105",
            "telephone_number": "603-410-6700",
            "fax_number": "603-319-8308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 LOUDON RD",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033015300",
            "telephone_number": "603-226-9000",
            "fax_number": "603-226-2268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCENNA",
        "first_name": "SHANNON",
        "middle_name": "ROSE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-01",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "075609-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NH

Sources for this page

Verify at the official NPI Registry.