Individual provider Active NPI

Clive E Robertson, FNP-BC

  • Family Nurse Practitioner
  • Bedford, NH
National Provider Identifier
1710655006
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
086438-23 Issued in NH
Practice address
258 S River Rd
Bedford, NH 03110-6822
Phone
(603) 758-3192
Fax
(603) 451-1161
NPI assigned
Sep 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 2354385 MA
Family Nurse Practitioner 363LF0000X 2354385 MA
Family Nurse Practitioner 363LF0000X 086438-23 NH Primary

Addresses

Primary practice location

258 S River Rd
Bedford, NH 03110-6822

Mailing address

7 Chase LN
Stratham, NH 03885-2295
Phone (919) 525-4960

Other practice location 1

7 Chase Ln
Stratham, NH 03885-2295
Phone (919) 525-4960

Other names 1

  • Clive E Tucceri 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
I20220531000187 NH Practitioner - Nurse Practitioner 3173901345 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Innovative Psychiatry Center IncGroup PAC ID 1052706231, 2 clinicians
The TMS Collaborative PLLCGroup PAC ID 2264860907, 2 clinicians

Practice addresses (Care Compare)

258 S River Rd
Unit 2
Bedford, NH 03110-6822
Phone (603) 658-3192

9 Hampton Rd
Unit 2
Exeter, NH 03833-4807
Phone (603) 778-0505

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2354385MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Specialty Institute PLLC CurrentSince Dec 18, 2023 Accepting new patients
Rowan Tree Healthcare PLLC CurrentSince Jun 11, 2023 Accepting new patients
TMS Collaborative PLLC CurrentSince May 5, 2025 Accepting new patients
Innovative Psychiatry Center Inc CurrentSince May 5, 2025 Accepting new patients
Paul F. Belliveau, MD and Associates PastSince May 11, 2025 Accepting new patients

Locations

258 S River Rd
Bedford, NH 03110
Phone (603) 714-9646

258 S River Rd
#2
Bedford, NH 03110
Phone (603) 658-3192

9 Hampton Rd
Unit 2
Exeter, NH 03833
Phone (603) 778-0505

101 Shattuck Way
Ste 6
Portsmouth, NH 03801
Phone (603) 383-2020

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25489/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1630454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1710655006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 CHASE LN",
            "city": "STRATHAM",
            "state": "NH",
            "postal_code": "038852295",
            "telephone_number": "919-525-4960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 S RIVER RD",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106822",
            "telephone_number": "603-758-3192",
            "fax_number": "603-451-1161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Chase Ln",
            "address_purpose": "LOCATION",
            "city": "Stratham",
            "state": "NH",
            "postal_code": "038852295",
            "country_code": "US",
            "telephone_number": "919-525-4960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "CLIVE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-01",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "2354385",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "2354385",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "086438-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLIVE",
            "last_name": "TUCCERI",
            "middle_name": "E",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bedford, NH

Sources for this page

Verify at the official NPI Registry.