Individual provider Active NPI

Melissa Preble

  • Family Nurse Practitioner
  • Keene, NH
National Provider Identifier
1679984702
Registry record updated May 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
055862-21 Issued in NH
Practice address
298 Main St
Keene, NH 03431-4145
Phone
(603) 352-7311
NPI assigned
May 12, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2014

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 055862-21 NH Primary

Addresses

Primary practice location

298 Main St
Keene, NH 03431-4145

Mailing address

298 Main St
Keene, NH 03431-4145
Phone (603) 352-7311

Other names 1

  • Melissa Lukanik Former name

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
I20150122001457 NH Practitioner - Nurse Practitioner 3577887579 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
State of New HampshireGroup PAC ID 3870530579, 77 clinicians

Practice addresses (Care Compare)

36 Clinton St
Concord, NH 03301-2359
Phone (603) 271-5300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
055862-21NHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alignmed Partners, PC CurrentSince Jan 1, 2018 Accepting new patients
State of New Hampshire CurrentSince Jul 19, 2020 Accepting new patients
State of New Hampshire CurrentSince Jul 19, 2020 Accepting new patients

Locations

36 Clinton St
Concord, NH 03301
Phone (603) 271-5075

239 Pleasant St
Concord, NH 03301
Phone (603) 224-6561

677 Court St
Keene, NH 03431
Phone (603) 354-4157

298 Main St
Keene, NH 03431
Phone (310) 270-6181

8 Snow Rd
Winchester, NH 03470
Phone (603) 239-6355

Organizations & group practices 3

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": "1399852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399852800000",
    "number": "1679984702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "298 MAIN ST",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034314145",
            "telephone_number": "603-352-7311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "298 MAIN ST",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034314145",
            "telephone_number": "603-352-7311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREBLE",
        "first_name": "MELISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-12",
        "last_updated": "2014-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "055862-21",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "LUKANIK",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Keene, NH

Sources for this page

Verify at the official NPI Registry.