Individual provider Active NPI

Martha Porfido-Bellisle, NP

  • Nurse Practitioner
  • Nashua, NH
National Provider Identifier
1649343336
Registry record updated Aug 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
034837-21 Issued in NH
Practice address
17 Prospect St
Nashua, NH 03060-3956
Phone
(603) 577-2663
Fax
(603) 577-3366
NPI assigned
Nov 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2015

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 034837-21 NH Primary
Family Nurse Practitioner 363LF0000X 138817 MA

Addresses

Primary practice location

17 Prospect St
Nashua, NH 03060-3956

Mailing address

PO Box 3677
Nashua, NH 03061-3677
Phone (603) 577-7900

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
I20090813000351 NH Practitioner - Nurse Practitioner 4183623838 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foundation Medical Partners IncGroup PAC ID 9436140456, 313 clinicians
Appledore Medical Group IncGroup PAC ID 5698666154, 197 clinicians

Practice addresses (Care Compare)

17 Prospect St
Suite N203
Nashua, NH 03060-3964
Phone (603) 577-2663

87 McGregor St
Suite 3100
Manchester, NH 03102-3766
Phone (603) 627-1887

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
034837-21NHMDNurse Practitioner
138817MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Foundation Medical Partners Inc CurrentSince Aug 1, 2015 Accepting new patients
Foundation Medical Partners Inc. CurrentSince Aug 1, 2015 Accepting new patients
Appledore Medical Group Dba Woodbury Family Practice CurrentSince Jan 2, 2026 Accepting new patients
Appledore Medical Group, Inc CurrentSince Jan 2, 2026 Accepting new patients
Lahey Clinic, Inc Past Accepting new patients
Appledore Medical Group, Inc. Past Accepting new patients
Lahey Clinic, Inc. Past Accepting new patients

Locations

41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400

44 Birch St
Ste 206
Derry, NH 03038
Phone (603) 521-7413

87 McGregor St
Ste 3100
Manchester, NH 03102
Phone (603) 627-1887

10 Jones Rd
Milford, NH 03055
Phone (603) 672-7600

17 Prospect St
Ste N203
Nashua, NH 03060
Phone (603) 577-2663

17 Prospect St
Nashua, NH 03060
Phone (603) 577-2663

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: mporfidobellisle17943@direct.solutionhealth.org

Organizations & group practices 7

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 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": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439164800000",
    "number": "1649343336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3677",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030613677",
            "telephone_number": "603-577-7900",
            "fax_number": "603-577-7972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 PROSPECT ST",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030603956",
            "telephone_number": "603-577-2663",
            "fax_number": "603-577-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORFIDO-BELLISLE",
        "first_name": "MARTHA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2015-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NH",
            "license": "034837-21",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "138817",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

Verify at the official NPI Registry.