Individual provider Active NPI

Madeline Rose Grandin

  • Family Nurse Practitioner
  • Portsmouth, NH
National Provider Identifier
1669082483
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
076198-23 Issued in NH
Practice address
200 Griffin Rd Ste 15
Portsmouth, NH 03801-7145
Phone
(603) 373-0096
NPI assigned
Aug 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 076198-23 NH Primary

Addresses

Primary practice location

200 Griffin Rd Ste 15
Portsmouth, NH 03801-7145

Mailing address

200 Griffin Rd Ste 15
Portsmouth, NH 03801-7145
Phone (603) 373-0096

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
I20210130000228 NH Practitioner - Nurse Practitioner 9537573779 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Atlantic Internal Medicine and Pediatrics, IncGroup PAC ID 8325292758, 3 clinicians

Practice addresses (Care Compare)

200 Griffin Rd
Suite 15
Portsmouth, NH 03801-7145
Phone (603) 373-0096

Hospital & facility affiliations

  • Portsmouth Regional Hospital Hospital, Portsmouth, NH, CCN 300029
  • Exeter Hospital Inc Hospital, Exeter, NH, CCN 300023
  • Wentworth-Douglass Hospital Hospital, Dover, NH, CCN 300018
  • York Hospital Hospital, York, ME, CCN 200020

Merit-based Incentive Payment System (MIPS)

Final score
89.93 of 100Reported as group
Quality
100
Improvement activities
40
Cost
66.44

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
076198-23NHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Internal Medicine & Pediatrics, Inc CurrentSince Jan 29, 2021 Accepting new patients

Locations

200 Griffin Rd
Ste 6
Portsmouth, NH 03801
Phone (603) 373-0096

333 Bothwick Ave
Portsmouth, NH 03801
Phone (603) 433-4907

200 Griffin Rd
Ste 15
Portsmouth, NH 03801
Phone (603) 373-0096

Interoperability endpoints

  • Direct secure messaging: atlanticinternalmedicineandpediatrics.madelinegrandin@124363.advancedmd-direct.com

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.

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": "1596672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1669082483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 GRIFFIN RD STE 15",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038017145",
            "telephone_number": "603-373-0096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 GRIFFIN RD STE 15",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038017145",
            "telephone_number": "603-373-0096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANDIN",
        "first_name": "MADELINE",
        "middle_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-06",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "076198-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, NH

Sources for this page

Verify at the official NPI Registry.