Tara A. Nelligan, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1354 Issued in NH

Practice address

246 Pleasant St.
Memorial Building, West, Ground Floor
Concord, NH 03301-2548

Phone

(603) 415-6400

Fax

(603) 227-7595

NPI assigned

May 16, 2018

Last updated

Jun 28, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

Physician Assistant

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Concord Hospital IncGroup PAC ID 6103721790, 572 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Concord Hospital Hospital, Concord, NH, CCN 300001

Merit-based Incentive Payment System (MIPS)

Final score

89 of 100Reported as apm

Quality

73.23

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as group

Quality

0

Promoting interoperability

0

Improvement activities

0

Cost

0

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tn1@peraza.emadirect.md

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Concord Hospital, Inc.

  dba Concord Hospital Medical Associates

  • Emergency Medicine Physician
  • Concord, NH
  • NPI 1194778571
  Medicare reassignment Care Compare group
• Concord Hospital, Inc.

  dba Concord Hospital Physician Group

  • General Practice Physician
  • Concord, NH
  • NPI 1801840764
  NPD
• Concord Hospital, Inc.

  • General Acute Care Hospital
  • Concord, NH
  • NPI 1215988530
  NPD (past)
• Jose E. Peraza

  • Dermatology Physician
  • Claremont, NH
  • NPI 1134396104
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Concord Hospital, Inc.

  • General Acute Care Hospital
  • Concord, NH
  • NPI 1215988530
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1526428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1699265512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 PLEASANT ST BLDG WEST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033012548",
            "telephone_number": "603-415-6400",
            "fax_number": "603-227-7595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 PLEASANT ST.",
            "address_2": "MEMORIAL BUILDING, WEST, GROUND FLOOR",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033012548",
            "telephone_number": "603-415-6400",
            "fax_number": "603-227-7595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "252 Broad St",
            "address_purpose": "LOCATION",
            "city": "Claremont",
            "state": "NH",
            "postal_code": "037432636",
            "country_code": "US",
            "telephone_number": "603-542-6455",
            "fax_number": "603-543-0736",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELLIGAN",
        "first_name": "TARA",
        "middle_name": "A.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-16",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NH",
            "license": "1354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tnelligan@crhc.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Concord Hospital Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "246 Pleasant St.",
            "address_2": "Memorial Building, West, Ground Floor",
            "city": "Concord",
            "state": "NH",
            "country_code": "US",
            "postal_code": "033012548",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Artabaz Nazari, M.D.
• Laura Antoinette Neal, CRNA
• Nicole Jennifer Neal, M.S., CCC/SLP
• Rebecca Reetz Neal, M.D.
• Corina Neculai, ARNP
• Angela L. Nelson, CNM
• Jane Nelson
• Nicole Nelson, PA-C
• Richard S. Nelson, MD
• Tyrone Nelson

• Physician Assistant in Concord, NH
• Providers in Concord, NH by specialty
• Physician Assistant in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.