Individual provider Active NPI

Gregg Lee Rogers, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Conway, NH
National Provider Identifier
1750386900
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
074751-23 Issued in NH
Practice address
298 White Mountain Hwy
Conway, NH 03818-4204
Phone
(603) 447-8900
Fax
(603) 447-8900
NPI assigned
Jun 15, 2005
Sex
Male
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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9218687 FL
Family Nurse Practitioner 363LF0000X 07475123 NH
Pediatric Nurse Practitioner 363LP0200X ARNP9218687 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 074751-23 NH Primary

Addresses

Primary practice location

298 White Mountain Hwy
Conway, NH 03818-4204

Mailing address

54 Maple St Apt 2
Sandwich, NH 03227-3440
Phone (603) 630-7852

Other practice location 1

1 Bridge St Ste 210
Plymouth, NH 03264-1623
Phone (603) 755-6465

Other practice location 2

25 W Main St
Conway, NH 03818-6142
Phone (603) 447-2111

Other practice location 3

1600 SW Archer Rd
Gainesville, FL 32610-3003
Phone (352) 273-7770 ext. 246

Other identifiers 1

IdentifierTypeStateIssuer
306803000MedicaidFL

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
I20170518002711 NH Practitioner - Nurse Practitioner 1850551466 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Counseling Center of Nashua IncGroup PAC ID 3274523758, 250 clinicians

Practice addresses (Care Compare)

70 Commercial St
Suite 200
Concord, NH 03301-5094
Phone (603) 883-0005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
07475123NHMDFamily Nurse Practitioner
ARNP9218687FLMDPediatric Nurse Practitioner
074751-23NHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Counseling Center of Nashua Inc CurrentSince Apr 7, 2025 Accepting new patients
Northern Human Services Past Accepting new patients
Northeastern Vermont Regional Hospital, Inc. PastSince Apr 12, 2017 Accepting new patients

Locations

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

70 Commercial St
Ste 200
Concord, NH 03301
Phone (603) 263-8650

24 Front St
Exeter, NH 03833
Phone (603) 772-3900

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.greggrogers@140126.advancedmd-direct.com

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": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1750386900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 MAPLE ST APT 2",
            "city": "SANDWICH",
            "state": "NH",
            "postal_code": "032273440",
            "telephone_number": "603-630-7852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "298 WHITE MOUNTAIN HWY",
            "city": "CONWAY",
            "state": "NH",
            "postal_code": "038184204",
            "telephone_number": "603-447-8900",
            "fax_number": "603-447-8900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Bridge St Ste 210",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "NH",
            "postal_code": "032641623",
            "country_code": "US",
            "telephone_number": "603-755-6465",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25 W Main St",
            "address_purpose": "LOCATION",
            "city": "Conway",
            "state": "NH",
            "postal_code": "038186142",
            "country_code": "US",
            "telephone_number": "603-447-2111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 SW Archer Rd",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326103003",
            "country_code": "US",
            "telephone_number": "352-273-7770 x246",
            "fax_number": "352-392-0547",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "GREGG",
        "middle_name": "LEE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-15",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9218687",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "07475123",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "ARNP9218687",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NH",
            "license": "074751-23",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "306803000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, NH

Sources for this page

Verify at the official NPI Registry.