Kelly A Thorson, APRN
Individual provider Active NPI Family Nurse Practitioner · Warner, NH
NPI 1649601170 · NPPES record last updated Mar 21, 2024
Key facts
- NPI
- 1649601170
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 046751-23 (NH)
- Practice address
- 2 E Main St Unit 2
Warner, NH 03278-4421 - Phone
- (603) 456-6106
- Fax
- (603) 227-7566
- NPI assigned
- Dec 10, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Concord Hospital Inc
Practice addresses (Care Compare)
121 Pembroke St
Pembroke, NH 03275-1311
Phone (603) 485-8441
Hospital & facility affiliations
- Concord Hospital
- New London Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 89 of 100
- Quality
- 73.23
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140321001762 | NH | Practitioner - Nurse Practitioner | 5092946707 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046751-23 | NH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Concord Hospital, Inc. | Current |
Accepting new patients | |
| Concord Hospital, Inc. | Current |
Accepting new patients | |
| Concord Hospital, Inc. | Current | Accepting new patients |
Locations
246 Pleasant St
Concord, NH 03301
Phone (603) 224-1223
250 Pleasant St
Concord, NH 03301
Phone (603) 225-2711
80 Highland St
Laconia, NH 03246
Phone (603) 527-7100
121 Pembroke St
Pembroke, NH 03275
Phone (603) 485-8441
2 E Main St
#2
Warner, NH 03278
Phone (603) 456-6106
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 046751-23 | NH | Yes |
Addresses
Primary practice location
2 E Main St Unit 2
Warner, NH 03278-4421
Mailing address
2 E Main St Unit 2
Warner, NH 03278-4421
Phone (603) 456-6106
Other names
- Kelly A Wiemer
Other providers in Warner, NH
- Colleen Porter
- Jonathan Christopher Rego
- Sitrof LLC
- Lauryn Spadafore
- Susan Randlett Acsw, DCSW, LLC
- Warner Pharmacy
- Jeremy Boegel Werth
All providers in Warner, NH · Family Nurse Practitioner in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 21, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.