NPIMap

Individual provider Active NPI

Cecilia M Vicuna Keady, ARNP

  • Family Medicine Physician
  • Charlestown, NH
National Provider Identifier
1558334656
Registry record updated Oct 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0525322303 Issued in NH
Practice address
157 Main Street
Charlestown, NH 03603
Phone
(603) 863-4100
Fax
(603) 526-5085
NPI assigned
Feb 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0525322303 NH Primary
Family Medicine Physician 207Q00000X 1010030222 VT

Addresses

Primary practice location

157 Main Street
Charlestown, NH 03603

Mailing address

PO Box 93
Charlestown, NH 03603-0093
Phone (603) 826-3434

Other identifiers 1

IdentifierTypeStateIssuer
1010552MedicaidVT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040621000303 NH Practitioner - Nurse Practitioner 0446235972 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Keady Family Practice LLCGroup PAC ID 8921251828, 6 clinicians

Practice addresses (Care Compare)

214 Washington St
Claremont, NH 03743-5512
Phone 6038637777302

Hospital & facility affiliations

  • Lake Sunapee Home Care & Hospice Home health agency, New London, NH, CCN 307040
  • Vna and Hospice of Vermont and New Hampshire Home health agency, White River Junction, VT, CCN 477002
  • Valley Regional Hospital Hospital, Claremont, NH, CCN 301308
  • New London Hospital Hospital, New London, NH, CCN 301304
  • Springfield Hospital Hospital, Springfield, VT, CCN 471306
  • Mary Hitchcock Memorial Hospital Hospital, Lebanon, NH, CCN 300003
  • Mt Ascutney Hospital Hospital, Windsor, VT, CCN 471302

Merit-based Incentive Payment System (MIPS)

Final score
79.66 of 100Reported as apm
Quality
53.51
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
93.17 of 100Reported as group
Quality
84.29
Promoting interoperability
96
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
89.84 of 100Reported as individual
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
66.15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0525322303NHMDFamily Medicine Physician
1010030222VTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Keady Family Practice, LLC CurrentSince Oct 16, 2012 Accepting new patients
Springfield Hospital Family Medicine Past Accepting new patients
The New London Hospital Association, Inc. Family Medicine Past Accepting new patients

Locations

52 W Pleasant St
Claremont, NH 03743
Phone (603) 448-0126

214 Washington St
Claremont, NH 03743
Phone (603) 863-7777

Interoperability endpoints

  • Direct secure messaging: cecilia.vicuna-keady.1@17354.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/17354/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

Hospital & facility affiliations 11

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": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382572800000",
    "number": "1558334656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 93",
            "city": "CHARLESTOWN",
            "state": "NH",
            "postal_code": "036030093",
            "telephone_number": "603-826-3434",
            "fax_number": "603-769-3406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 MAIN STREET",
            "city": "CHARLESTOWN",
            "state": "NH",
            "postal_code": "03603",
            "telephone_number": "603-863-4100",
            "fax_number": "603-526-5085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICUNA KEADY",
        "first_name": "CECILIA",
        "middle_name": "M",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-09",
        "last_updated": "2013-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "0525322303",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VT",
            "license": "1010030222",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1010552",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlestown, NH

Sources for this page

Verify at the official NPI Registry.