Active NPI
Maureen Mary Mahoney, PA
- Physician Assistant
- Keene, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2313
- Practice address
- 580 Court St
Keene, NH 03431-1718 - Phone
- (603) 354-5400
- NPI assigned
- Oct 9, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 0550030864 | VT | |
| Physician Assistant | 363A00000X | 2313 | NH | Primary |
Addresses
Primary practice location
580 Court St
Keene, NH 03431-1718
Mailing address
PO Box 810
Hanover, NH 03755-0810
Other practice location 1
17 Belmont Ave Ste 1
Brattleboro, VT 05301-3498
Phone (802) 257-8203
Other practice location 2
17 Belmont Ave
Brattleboro, VT 05301-7601
Phone (802) 251-8611
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT, NH
- 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
- Physician Assistant
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1 Medical Ctr Dr
Lebanon, NH 03756-1000
Phone (603) 650-5000
580 Court St
Keene, NH 03431-1718
Phone (603) 354-5454
Hospital & facility affiliations
- Cheshire Medical Center
- Brattleboro Memorial Hospital
- Springfield Hospital
- Grace Cottage Hospital
- Monadnock Community Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2313 | NH | MD | Professional Counselor |
| 0550030864 | VT | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dartmouth-Hitchcock Clinic | Current | Accepting new patients | |
| Dartmouth-Hitchcock Clinic | Current | Accepting new patients | |
| Cheshire Medical Center | Current | Accepting new patients | |
| Mary Hitchcock Memorial Hospital | Current | Accepting new patients | |
| Mary Hitchcock Memorial Hospital | Current | Accepting new patients | |
| Mary Hitchcock Memorial Hospital | Current | Accepting new patients | |
| Mary Hitchcock Memorial Hospital | Past | Accepting new patients |
Locations
253 Pleasant St
Concord, NH 03301
Phone (603) 226-2200
580 Court St
Keene, NH 03431
Phone (603) 354-5454
590 Court St
Keene, NH 03431
Phone (603) 354-5454
1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922
17 Belmont Ave
Ste 1
Brattleboro, VT 05301
Phone (802) 251-8611
17 Belmont Ave
Brattleboro, VT 05301
Phone (802) 257-8360
Organizations & group practices 8
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.
-
- Emergency Medicine Physician
- Keene, NH
- NPI 1093803397
-
- Internal Medicine Physician
- Lebanon, NH
- NPI 1548210198
-
- General Acute Care Hospital
- Lebanon, NH
- NPI 1023092053
-
- General Acute Care Hospital
- Brattleboro, VT
- NPI 1306849708
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Lebanon, NH
- NPI 1124681846
-
- Community/Retail Pharmacy
- Keene, NH
- NPI 1033761739
-
- General Acute Care Hospital
- Lebanon, NH
- NPI 1629788237
-
- Psychiatric Hospital
- Hampstead, NH
- NPI 1699584219
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Keene, NH
- NPI 1629181516
-
- Critical Access Hospital
- Peterborough, NH
- NPI 1457304149
-
- Critical Access Hospital
- Peterborough, NH
- NPI 1881676104
-
- General Acute Care Hospital
- Brattleboro, VT
- NPI 1306849708
-
- Critical Access Hospital
- Townshend, VT
- NPI 1255337473
-
- Critical Access Hospital Clinic/Center
- Springfield, VT
- NPI 1033225875
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728604800000",
"number": "1710175385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 810",
"city": "HANOVER",
"state": "NH",
"postal_code": "037550810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "580 COURT ST",
"city": "KEENE",
"state": "NH",
"postal_code": "034311718",
"telephone_number": "603-354-5400"
}
],
"practiceLocations": [
{
"address_1": "17 Belmont Ave Ste 1",
"address_purpose": "LOCATION",
"city": "Brattleboro",
"state": "VT",
"postal_code": "053013498",
"country_code": "US",
"telephone_number": "802-257-8203",
"fax_number": "802-251-8419",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "17 Belmont Ave",
"address_purpose": "LOCATION",
"city": "Brattleboro",
"state": "VT",
"postal_code": "053017601",
"country_code": "US",
"telephone_number": "802-251-8611",
"fax_number": "802-251-8419",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAHONEY",
"first_name": "MAUREEN",
"middle_name": "MARY",
"name_prefix": "Ms.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-09",
"last_updated": "2024-10-11",
"certification_date": "2024-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "VT",
"license": "0550030864",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NH",
"license": "2313",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Keene, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; 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.