Individual provider Active NPI

Breanna Rose Craigue, APRN

  • Gerontology Nurse Practitioner
  • Charlestown, NH
National Provider Identifier
1639913825
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
07357223 Issued in NH
Practice address
250 Ceda Rd
Charlestown, NH 03603-4511
Phone
(603) 826-5711
NPI assigned
Jun 21, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 07357223 NH Primary

Addresses

Primary practice location

250 Ceda Rd
Charlestown, NH 03603-4511

Mailing address

33 Craigue Hill Rd
Claremont, NH 03743-4334
Phone (603) 558-1028

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
I20240920002448 NH Practitioner - Nurse Practitioner 2062953722 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

250 Ceda Rd
Charlestown, NH 03603-4511
Phone (603) 826-5711

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
07357223NHMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Springfield Medical Care Systems Inc CurrentSince Aug 5, 2024 Accepting new patients
Springfield Medical Care Systems Inc. CurrentSince Aug 5, 2024 Accepting new patients

Locations

250 Ceda Rd
Charlestown, NH 03603
Phone (603) 826-5711

Interoperability endpoints

  • Direct secure messaging: breanna.craigue.1@24182.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/21546/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1718928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1639913825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 CRAIGUE HILL RD",
            "city": "CLAREMONT",
            "state": "NH",
            "postal_code": "037434334",
            "telephone_number": "603-558-1028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 CEDA RD",
            "city": "CHARLESTOWN",
            "state": "NH",
            "postal_code": "036034511",
            "telephone_number": "603-826-5711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAIGUE",
        "first_name": "BREANNA",
        "middle_name": "ROSE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-21",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NH",
            "license": "07357223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlestown, NH

Sources for this page

Verify at the official NPI Registry.