Individual provider Active NPI

Brittany Pelletier, AGPCNP-BC

  • Nurse Practitioner
  • Salem, NH
National Provider Identifier
1578006995
Registry record updated Jul 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
086836-23 Issued in NH
Practice address
16 Pelham Rd Ste 1
Salem, NH 03079-3077
Phone
(603) 898-2244
NPI assigned
Dec 3, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 086836-23 NH Primary
Nurse Practitioner 363L00000X RN2358518 MA

Addresses

Primary practice location

16 Pelham Rd Ste 1
Salem, NH 03079-3077

Mailing address

16 Pelham Rd Ste 1
Salem, NH 03079-3077
Phone (603) 898-2244

Other practice location 1

1844 Commonwealth Ave
Auburndale, MA 02466-2709
Phone (617) 243-2000

Other names 1

  • Brittany Peredna Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230924000011 MA Practitioner - Nurse Practitioner 2668826702 Reassigns benefits to 1 organization
I20240807001396 NH Practitioner - Nurse Practitioner 2668826702 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Rehab Consultants PLLCGroup PAC ID 6800220682, 251 clinicians

Practice addresses (Care Compare)

200 Governors Ave
Medford, MA 02155-1644
Phone (781) 391-5400

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Rehab Consultants PLLC Nurse Practitioner CurrentSince Sep 1, 2023 Accepting new patients

Locations

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

40 Parkhurst Rd
Chelmsford, MA 01824
Phone (978) 251-3151

184 Main St
Fairhaven, MA 02719
Phone (508) 742-3737

200 Governors Ave
Medford, MA 02155
Phone (751) 391-5400

120 Murray St
Medford, MA 02155
Phone (781) 391-0800

25 Ridgewood Rd
Bedford, NH 03110
Phone (603) 222-0303

30 Colby Ct
Bedford, NH 03110
Phone (603) 267-0527

191 Hackett Hill Rd
Manchester, NH 03102
Phone (603) 600-3255

Organizations & group practices 1

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": "1480723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690329600000",
    "number": "1578006995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 PELHAM RD STE 1",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030793077",
            "telephone_number": "603-898-2244",
            "fax_number": "603-898-2227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 PELHAM RD STE 1",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030793077",
            "telephone_number": "603-898-2244"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1844 Commonwealth Ave",
            "address_purpose": "LOCATION",
            "city": "Auburndale",
            "state": "MA",
            "postal_code": "024662709",
            "country_code": "US",
            "telephone_number": "617-243-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PELLETIER",
        "first_name": "BRITTANY",
        "name_prefix": "Mrs.",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-03",
        "last_updated": "2023-07-26",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NH",
            "license": "086836-23",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2358518",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRITTANY",
            "last_name": "PEREDNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Salem, NH

Sources for this page

Verify at the official NPI Registry.