Individual provider Active NPI

Lisa Weldon, PMH-NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Bedford, NH
National Provider Identifier
1730589615
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
064788-23 Issued in NH
Practice address
305 Riverway PL
Bedford, NH 03110-6764
Phone
(603) 836-5584
Fax
(603) 935-7615
NPI assigned
Aug 28, 2014
Reactivated
Oct 22, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 064788-23 NH Primary

Addresses

Primary practice location

305 Riverway PL
Bedford, NH 03110-6764

Mailing address

305 Riverway PL
Bedford, NH 03110-6764
Phone (603) 836-5584

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
I20151013000267 NH Practitioner - Nurse Practitioner 2769791821 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Progressive Psychiatric Services PLLCGroup PAC ID 1557616299, 4 clinicians

Practice addresses (Care Compare)

305 Riverway PL
Bedford, NH 03110-6764
Phone (603) 836-5584

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
064788-23NHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Psychiatric Services, PLLC Psychiatric/Mental Health CurrentSince Feb 22, 2018 Accepting new patients
Nfi North, Inc CurrentSince Feb 21, 2018 Accepting new patients
Healthfirst Family Care Center, Inc. PastSince Jan 9, 2017 Accepting new patients

Locations

305 Riverway Pl
Bedford, NH 03110
Phone (603) 669-2779

305 Riverway Pl
Bldg 3
Bedford, NH 03110

99 Pleasant St
Concord, NH 03301
Phone (603) 229-3912

771 Chestnut St
Manchester, NH 03104
Phone (603) 661-0305

771 Chestnut St
Fl 1
Manchester, NH 03104
Phone (603) 661-0305

Organizations & group practices 3

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": "1409184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1730589615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 RIVERWAY PL",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106764",
            "telephone_number": "603-836-5584",
            "fax_number": "603-935-7615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 RIVERWAY PL",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106764",
            "telephone_number": "603-836-5584",
            "fax_number": "603-935-7615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELDON",
        "first_name": "LISA",
        "credential": "PMH-NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-28",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "deactivation_date": "2018-10-12",
        "reactivation_date": "2018-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NH",
            "license": "064788-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, NH

Sources for this page

Verify at the official NPI Registry.