Kelsey Denby
Individual provider Active NPI Physician Assistant · Manchester, NH
NPI 1689414286 · NPPES record last updated May 30, 2024
Key facts
- NPI
- 1689414286
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 1260 Elm St
Manchester, NH 03101-1354 - Phone
- (603) 314-1701
- NPI assigned
- May 30, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 16
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Speare Memorial Hospital
Practice addresses (Care Compare)
103 Boulder Point Dr
Plymouth, NH 03264-3168
16 Hospital Rd
Plymouth, NH 03264-1126
Hospital & facility affiliations
- Speare Memorial Hospital
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 |
|---|---|---|---|---|
| I20250618002973 | NH | Practitioner - Physician Assistant | 5597276238 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3037 | NH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Speare Memorial Hospital | Current |
Accepting new patients | |
| Speare Memorial Hospital | Current |
Accepting new patients | |
| Convenientmd - FFS UC LLC | Current |
Accepting new patients | |
| Speare Memorial Hospital | Current |
Accepting new patients | |
| Convenientmd - FFS UC LLC | Current |
Accepting new patients | |
| Speare Memorial Hospital | Past | Accepting new patients |
Locations
3 Nashua Rd
Bedford, NH 03110
Phone (603) 472-6700
178 Daniel Webster Hwy
Ste B
Meredith, NH 03253
103 Boulder Point Dr
Plymouth, NH 03264
Phone (603) 536-1284
16 Hospital Rd
Plymouth, NH 03264
Phone (603) 238-2229
360 US Highway 1 Byp
Unit 102
Portsmouth, NH 03801
Phone (603) 410-6700
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
1260 Elm St
Manchester, NH 03101-1354
Mailing address
359 King St
Littleton, MA 01460-1248
Other providers in Manchester, NH
- Radhika Demary
- Denise Demello
- Aera Demers
- Henry Charles Demers
- Melissa Demers
- Sadie Denico
- Ivy Denis
- Leah Dennison
- Jennifer Ann Denoya
- Colleen Denslow
All providers in Manchester, NH · Physician Assistant 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 May 30, 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.