Genevieve Mary Kelley, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

042.0014582 Issued in VT

Practice address

580 Saint Johnsbury Rd Ste K
Littleton, NH 03561

Phone

(603) 444-2010

Fax

(603) 444-2181

NPI assigned

Jul 15, 2016

Last updated

Jan 10, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Dr. Genevieve Mary San Martin Former name

Medicare fee-for-service enrollment

Enrolled in NH, VT2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Merit-based Incentive Payment System (MIPS)

Final score

83.39 of 100Reported as group

Quality

72.51

Promoting interoperability

100

Improvement activities

40

Cost

55.45

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• White Mountain Family Healthcare Littleton Inc.

  • Primary Care Clinic/Center
  • Littleton, NH
  • NPI 1629205703
  Medicare reassignment NPD
• Alignmed Medical Group, PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Baltimore, MD
  • NPI 1366289423

  VT

  Medicare reassignment NPD
• Baart Behavioral Health Services, Inc.

  dba BAART Programs St. Johnsbury

  • Substance Use Disorder Rehabilitation Clinic/Center
  • St Johnsbury, VT
  • NPI 1013055110
  Medicare reassignment NPD
• Baart Behavioral Health Services, Inc.

  dba BAART Programs Bennington

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Bennington, VT
  • NPI 1740086263
  NPD

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

{
    "created_epoch": "1468540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1588017446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 SAINT JOHNSBURY RD STE K",
            "city": "LITTLETON",
            "state": "NH",
            "postal_code": "035613439",
            "telephone_number": "603-444-2010",
            "fax_number": "603-444-2181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 SAINT JOHNSBURY RD STE K",
            "city": "LITTLETON",
            "state": "NH",
            "postal_code": "03561",
            "telephone_number": "603-444-2010",
            "fax_number": "603-444-2181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8 Clover Ln",
            "address_purpose": "LOCATION",
            "city": "Whitefield",
            "state": "NH",
            "postal_code": "035983343",
            "country_code": "US",
            "telephone_number": "603-837-9005",
            "fax_number": "603-788-5236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "GENEVIEVE",
        "middle_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-15",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "9858",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VT",
            "license": "042.0014582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "770YP31404",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3105568",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GENEVIEVE",
            "last_name": "SAN MARTIN",
            "middle_name": "MARY",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Laura Karle, OD
• Jeffrey I Kauffman, M.D.
• Joanne Elizabeth Kawecki, BA
• Jeffrey Ames Kay, TH.D., PSY.D.
• Karen H Keller, LICSW
• Patricia E Kellogg, PA-C
• Emily J Kelly, APRN
• Jaime-Rose Kelly, LCMHC
• Kyle Keyser, OD
• Chelsea S Khan

• Family Medicine Physician in Littleton, NH
• Providers in Littleton, NH by specialty
• Family Medicine Physician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.