Individual provider Active NPI

Janine Panker, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Gilford, NH
National Provider Identifier
1659954857
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
084409-23 Issued in NH
Practice address
36 Country Club Rd Unit 926H
Gilford, NH 03249-6978
Phone
(802) 727-0440
NPI assigned
May 4, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 084409-23 NH Primary

Addresses

Primary practice location

36 Country Club Rd Unit 926H
Gilford, NH 03249-6978

Mailing address

71 Route 104 Unit 4-38
Meredith, NH 03253-5731
Phone (603) 393-3233

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective May 5, 2026 through May 5, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
084409-23NHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Statera Behavioral Health, LLC CurrentSince May 1, 2021 Accepting new patients

Locations

71 Route 104
Unit 438
Meredith, NH 03253
Phone (603) 393-3233

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": "1620086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1659954857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 ROUTE 104 UNIT 4-38",
            "city": "MEREDITH",
            "state": "NH",
            "postal_code": "032535731",
            "telephone_number": "603-393-3233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 COUNTRY CLUB RD UNIT 926H",
            "city": "GILFORD",
            "state": "NH",
            "postal_code": "032496978",
            "telephone_number": "802-727-0440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANKER",
        "first_name": "JANINE",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-04",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NH",
            "license": "084409-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilford, NH

Sources for this page

Verify at the official NPI Registry.