NPIMap

Individual provider Active NPI

Hannah E Boutselis, APRN

  • Family Nurse Practitioner
  • Manchester, NH
National Provider Identifier
1730675562
Registry record updated Oct 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
066272-23 Issued in NH
Practice address
1750 Elm St.
Suite 201a
Manchester, NH 03104
Phone
(603) 623-3343
Fax
(603) 623-7924
NPI assigned
Jul 4, 2018
Last updated
Oct 31, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 066272-23 NH Primary

Addresses

Primary practice location

1750 Elm St.
Suite 201a
Manchester, NH 03104

Mailing address

1750 Elm St.
Suite 201a
Manchester, NH 03104
Phone (603) 623-3343

Other names 1

  • Hannah Elizabeth Dubois Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180928001079 NH Practitioner - Nurse Practitioner 7810248960 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Appledore Medical Group IncGroup PAC ID 5698666154, 197 clinicians

Practice addresses (Care Compare)

57 Webster St
Suite 110
Manchester, NH 03104-2552
Phone (603) 622-6491

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Medical Center CurrentSince Sep 1, 2018 Accepting new patients
Appledore Medical Group Dba Woodbury Family Practice CurrentSince Feb 22, 2025 Accepting new patients
Appledore Medical Group, Inc CurrentSince Feb 22, 2025 Accepting new patients
Catholic Medical Center CurrentSince Sep 1, 2018 Accepting new patients
Appledore Medical Group, Inc. Past Accepting new patients

Locations

5 Washington Pl
Ste 1A
Bedford, NH 03110
Phone (603) 663-8060

1750 Elm St
Ste 201A
Manchester, NH 03104
Phone (603) 623-3343

57 Webster St
Manchester, NH 03104
Phone (603) 622-6491

57 Webster St
Ste 110
Manchester, NH 03104
Phone (603) 622-6491

330 Borthwick Ave
Ste 201
Portsmouth, NH 03801
Phone (603) 431-5242

330 Borthwick Ave
Ste 308
Portsmouth, NH 03801
Phone (603) 431-5242

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: hannah.boutselis@hca6.eclinicaldirectplus.com

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1530662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540944000000",
    "number": "1730675562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 ELM ST.",
            "address_2": "SUITE 201A",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "03104",
            "telephone_number": "603-623-3343",
            "fax_number": "603-623-7924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 ELM ST.",
            "address_2": "SUITE 201A",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "03104",
            "telephone_number": "603-623-3343",
            "fax_number": "603-623-7924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUTSELIS",
        "first_name": "HANNAH",
        "middle_name": "E",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-04",
        "last_updated": "2018-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "066272-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HANNAH",
            "last_name": "DUBOIS",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Manchester, NH

Sources for this page

Verify at the official NPI Registry.