Individual provider Active NPI

Jane Tallent, A.N.P.

  • Adult Health Nurse Practitioner
  • Dover, NH
National Provider Identifier
1558488205
Registry record updated Apr 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
030415-23 Issued in NH
Practice address
784 Central Ave
Dover, NH 03820-2549
Phone
(603) 742-5556
NPI assigned
Mar 26, 2007
Last updated
Apr 5, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 167288 MA
Adult Health Nurse Practitioner 363LA2200X 167288 MA
Adult Health Nurse Practitioner 363LA2200X 030415-23 NH Primary

Addresses

Primary practice location

784 Central Ave
Dover, NH 03820-2549

Mailing address

784 Central Ave
Dover, NH 03820-2549
Phone (603) 742-5556

Other practice location 1

2299 Woodbury Ave Ste 3
Newington, NH 03801-7854
Phone (603) 742-5556

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
I20190131003182 NH Practitioner - Nurse Practitioner 5597701292 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Campbell Dermatology PAGroup PAC ID 9537154059, 19 clinicians

Practice addresses (Care Compare)

784 Central Ave
Dover, NH 03820-2549
Phone (603) 742-5556

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90 of 100Reported as individual
Quality
80
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
167288MAMDAdult Health Nurse Practitioner
030415-23NHMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Campbell Dermatology PA CurrentSince Jan 1, 2019 Accepting new patients
Dermatology and Skin Health LLC CurrentSince Oct 30, 2022 Accepting new patients

Locations

160 S River Rd
Ste 2400
Bedford, NH 03110

15 Durham Rd
Ste 204
Dover, NH 03820

784 Central Ave
Dover, NH 03820
Phone (603) 742-5556

50 Michels Way
Unit 202
Londonderry, NH 03053
Phone (603) 742-5556

2299 Woodbury Ave
Ste 3
Newington, NH 03801
Phone (603) 319-8863

Organizations & group practices 2

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 2

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": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617580800000",
    "number": "1558488205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "784 CENTRAL AVE",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038202549",
            "telephone_number": "603-742-5556",
            "fax_number": "603-742-8668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "784 CENTRAL AVE",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038202549",
            "telephone_number": "603-742-5556"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2299 Woodbury Ave Ste 3",
            "address_purpose": "LOCATION",
            "city": "Newington",
            "state": "NH",
            "postal_code": "038017854",
            "country_code": "US",
            "telephone_number": "603-742-5556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TALLENT",
        "first_name": "JANE",
        "credential": "A.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "167288",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "167288",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NH",
            "license": "030415-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, NH

Sources for this page

Verify at the official NPI Registry.