Active NPI
Michelle Joan Cleary, APRN
- Family Nurse Practitioner
- Derry, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 056436-23
- Practice address
- 6 Tsienneto Rd
Suite 300
Derry, NH 03038-1584 - Phone
- (603) 216-0400
- Fax
- (603) 216-3800
- NPI assigned
- Oct 18, 2013
- Last updated
- Mar 12, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 056436-23 | NH | Primary |
Addresses
Primary practice location
6 Tsienneto Rd
Suite 300
Derry, NH 03038-1584
Mailing address
6 Tsienneto Rd
Suite 300
Derry, NH 03038-1584
Phone (603) 216-0400
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01265350 | Other | NH | RAILROAD MEDICARE |
| 697610 | Medicaid | NH |
Other names 1
- Michelle Cleary Smyth
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
22 Keewaydin Dr
Salem, NH 03079-2839
Phone (978) 683-9177
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RHG of New Hampshire PC | Current | Accepting new patients | |
| Apogee Medical Group New Hampshire PC | Current | Accepting new patients | |
| Revere Medical of Massachusetts, PC | Current | Accepting new patients | |
| Core Care Clinic LLC | Family | Past | Accepting new patients |
Locations
1 Pearl St
Ste 1000
Brockton, MA 02301
Phone (508) 897-6050
1 Pearl St
Ste 1400
Brockton, MA 02301
Phone (508) 897-6030
101 Station Dr
Ste 200
Westwood, MA 02090
Phone (781) 691-4122
172 Kinsley St
Nashua, NH 03060
Phone (603) 595-3926
22 Keewaydin Dr
Salem, NH 03079
Phone (603) 685-6977
Interoperability endpoints
- michelle.cleary.1@2017.direct.athenahealth.com
- michellesmyth@snhima.allscriptsdirect.net
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Salem, NH
- NPI 1003637257
-
- Internal Medicine Physician
- Nashua, NH
- NPI 1154102242
-
- Internal Medicine Physician
- Brockton, MA
- NPI 1336976539
-
- Specialist
- Derry, NH
- NPI 1316026677
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Parkland Medical Center
- General Acute Care Hospital
- Derry, NH
- NPI 1174570683
-
dba Merrimack Health Lawrence Hospital
- General Acute Care Hospital
- Lawrence, MA
- NPI 1750381281
-
dba Merrimack Health Methuen Hospital
- General Acute Care Hospital
- Methuen, MA
- NPI 1265267991
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1382054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552348800000",
"number": "1700214251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 TSIENNETO RD",
"address_2": "SUITE 300",
"city": "DERRY",
"state": "NH",
"postal_code": "030381584",
"telephone_number": "603-216-0400",
"fax_number": "603-216-3800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 TSIENNETO RD",
"address_2": "SUITE 300",
"city": "DERRY",
"state": "NH",
"postal_code": "030381584",
"telephone_number": "603-216-0400",
"fax_number": "603-216-3800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEARY",
"first_name": "MICHELLE",
"middle_name": "JOAN",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-18",
"last_updated": "2019-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NH",
"license": "056436-23",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01265350",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "697610",
"state": "NH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELLE",
"last_name": "SMYTH",
"middle_name": "CLEARY",
"credential": "APRN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Derry, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2019; 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.