Heidi Lisa Odum, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

064437-23 Issued in NH

Practice address

1750 Elm St Ste 201C
Manchester, NH 03104-2903

Phone

(603) 641-5800

Fax

(603) 621-4126

NPI assigned

Jul 19, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nephrology Associates, P. a.Group PAC ID 6608811708, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Elliot Hospital Hospital, Manchester, NH, CCN 300012
• Concord Hospital Hospital, Concord, NH, CCN 300001
• Catholic Medical Center Hospital, Manchester, NH, CCN 300034
• Concord Hospital- Laconia Hospital, Laconia, NH, CCN 300005
• Mary Hitchcock Memorial Hospital Hospital, Lebanon, NH, CCN 300003

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Nephrology Associates, P. a.

  • Nephrology Physician
  • Manchester, NH
  • NPI 1073630752
  Medicare reassignment Care Compare group NPD
• Elliot Professional Services

  • Internal Medicine Physician
  • Manchester, NH
  • NPI 1285627935
  Medicare reassignment
• Nephrology Associates Medical Group Inc

  • Nephrology Physician
  • Riverside, CA
  • NPI 1447200126
  NPD (past)

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

• Concord Hospital-Laconia

  • General Acute Care Hospital
  • Laconia, NH
  • NPI 1053495234
  Care Compare affiliation
• Concord Hospital-Laconia

  • Family Medicine Physician
  • Laconia, NH
  • NPI 1053993741

  Hospital

  Care Compare affiliation
• Concord Hospital, Inc.

  • General Acute Care Hospital
  • Concord, NH
  • NPI 1215988530
  Care Compare affiliation
• Elliot Hospital of the City of Manchester

  • General Acute Care Hospital
  • Manchester, NH
  • NPI 1902996028
  Care Compare affiliation
• Manchester Health Services, LLC

  • General Acute Care Hospital
  • Manchester, NH
  • NPI 1972340990
  Care Compare affiliation
• Mary Hitchcock Memorial Hospital

  • General Acute Care Hospital
  • Lebanon, NH
  • NPI 1023092053
  Care Compare affiliation
• Mary Hitchcock Memorial Hospital

  • General Acute Care Hospital
  • Lebanon, NH
  • NPI 1629788237
  Care Compare affiliation

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

{
    "created_epoch": "1658188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767571200000",
    "number": "1730814260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 ELM ST STE 201C",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031042903",
            "telephone_number": "603-641-5800",
            "fax_number": "603-621-4126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 ELM ST STE 201C",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031042903",
            "telephone_number": "603-641-5800",
            "fax_number": "603-621-4126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODUM",
        "first_name": "HEIDI",
        "middle_name": "LISA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-19",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NH",
            "license": "064437-23",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NH",
            "license": "064437-23",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Occupational Health Centers of the Southwest, P.a. (TX)
• Oceanic Psych Wellness PLLC
• Margarita Rosa Ochoa-Maya, MD,CDE,CCD
• Gwendolyn Odell, BA
• John Fitzgerald Odonnell
• Ofemz Home Healthcare Agency, LLC
• Cheryl A Ogden, DMD
• Erica Alicia Ogert, LCGC
• Musiliu Ogunbayo, APRN
• Oluwatobi A Ogunbayo, APRN PMHNP-BC

• Nurse Practitioner in Manchester, NH
• Providers in Manchester, NH by specialty
• Nurse Practitioner in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2026; 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.

Verify at the official NPI Registry.