NPIMap

Individual provider Active NPI

Amy M Leblanc, PA-C

  • Physician Assistant
  • Laconia, NH
National Provider Identifier
1568762672
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0798 Issued in NH
Practice address
85 Spring St Ste 2A1
Laconia, NH 03246-3113
Phone
(603) 524-1600
Fax
(603) 227-7556
NPI assigned
Oct 25, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0798 NH Primary

Addresses

Primary practice location

85 Spring St Ste 2A1
Laconia, NH 03246-3113

Mailing address

250 Pleasant St
Concord, NH 03301-2598
Phone (603) 227-7000

Other practice location 1

246 Pleasant St Bldg West
Concord, NH 03301-2548
Phone (603) 224-6070

Other identifiers 1

IdentifierTypeStateIssuer
0798OtherNHLICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aleblanc@crhc.cernerdirect.com Direct

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
I20131216001403 NH Practitioner - Physician Assistant 9739316878 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Concord Hospital-LaconiaGroup PAC ID 7012326259, 275 clinicians
Concord Hospital IncGroup PAC ID 6103721790, 572 clinicians

Practice addresses (Care Compare)

238 Daniel Webster Hwy
Meredith, NH 03253-5803
Phone (603) 279-7464

250 Pleasant St
Concord, NH 03301-2598

250 Pleasant St
Concord, NH 03301-7559
Phone (603) 230-3138

80 Highland St
Laconia, NH 03246-3235
Phone (603) 527-4500

85 Spring St
Laconia, NH 03246-3113

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0798NHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Medical Center CurrentSince Nov 11, 2013 Accepting new patients
Concord Hospital-Laconia CurrentSince Oct 21, 2024 Accepting new patients
Concord Hospital, Inc. CurrentSince Oct 1, 2024 Accepting new patients
Southern New Hampshire Internal Medicine Associates, PLLC Past Accepting new patients

Locations

250 Pleasant St
Concord, NH 03301
Phone (603) 225-2711

246 Pleasant St
Bldg W
Concord, NH 03301
Phone (603) 224-3388

246 Pleasant St
Concord, NH 03301
Phone (603) 224-1223

85 Spring St
Ste 2A1
Laconia, NH 03246
Phone (603) 524-1600

100 McGregor St
Manchester, NH 03102
Phone (603) 663-6931

100 McGregor St
Ste B600A
Manchester, NH 03102
Phone (603) 626-2340

238 Daniel Webster Hwy
Meredith, NH 03253
Phone (603) 279-7464

Interoperability endpoints

  • Direct secure messaging: amy.leblanc@hca6.eclinicaldirectplus.com

Organizations & group practices 5

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 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": "1287964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1568762672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 PLEASANT ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033012598",
            "telephone_number": "603-227-7000",
            "fax_number": "603-216-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 SPRING ST STE 2A1",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "032463113",
            "telephone_number": "603-524-1600",
            "fax_number": "603-227-7556"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "246 Pleasant St Bldg West",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NH",
            "postal_code": "033012548",
            "country_code": "US",
            "telephone_number": "603-224-6070",
            "fax_number": "603-227-7555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEBLANC",
        "first_name": "AMY",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-25",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NH",
            "license": "0798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "0798",
            "state": "NH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aleblanc@crhc.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Concord Hospital Direct email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "85 Spring St Ste 2A1",
            "city": "Laconia",
            "state": "NH",
            "country_code": "US",
            "postal_code": "032463113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Laconia, NH

Sources for this page

Verify at the official NPI Registry.