Individual provider Active NPI

Jaime-Lea Brenna Meyer, PA-C

  • Physician Assistant
  • Merrimack, NH
National Provider Identifier
1750661401
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0844 Issued in NH
Practice address
696 Daniel Webster Hwy
Merrimack, NH 03054-2748
Phone
(603) 429-3155
Fax
(603) 424-8693
NPI assigned
Aug 26, 2011
Last updated
Sep 1, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0844 NH Primary

Addresses

Primary practice location

696 Daniel Webster Hwy
Merrimack, NH 03054-2748

Mailing address

PO Box 3677
Nashua, NH 03061-3677
Phone (603) 577-7900

Other names 1

  • Jaime-Lea Brenna Pellowe Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130605000783 NH Practitioner - Physician Assistant 3375781107 Reassigns benefits to 1 organization
I20161110000105 MA Practitioner - Physician Assistant 3375781107 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foundation Medical Partners IncGroup PAC ID 9436140456, 313 clinicians

Practice addresses (Care Compare)

10 Jones Rd
Milford, NH 03055-3100
Phone (603) 672-7600

116 Spit Brook Rd
Nashua, NH 03062-2711
Phone (603) 888-5573

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Foundation Medical Partners Inc. CurrentSince May 1, 2013 Accepting new patients

Locations

68 Main St
Pepperell, MA 01463
Phone (978) 433-6317

696 Daniel Webster Hwy
Merrimack, NH 03054
Phone (603) 429-3155

10 Jones Rd
Milford, NH 03055
Phone (603) 672-7600

112 Spit Brook Rd
Nashua, NH 03062
Phone (603) 577-2273

116 Spit Brook Rd
Nashua, NH 03062
Phone (603) 888-5573

8 Prospect St
Nashua, NH 03060
Phone (603) 281-9275

Organizations & group practices 2

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 3

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": "1314316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598918400000",
    "number": "1750661401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3677",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030613677",
            "telephone_number": "603-577-7900",
            "fax_number": "603-577-7972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "696 DANIEL WEBSTER HWY",
            "city": "MERRIMACK",
            "state": "NH",
            "postal_code": "030542748",
            "telephone_number": "603-429-3155",
            "fax_number": "603-424-8693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "JAIME-LEA",
        "middle_name": "BRENNA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-26",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NH",
            "license": "0844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAIME-LEA",
            "last_name": "PELLOWE",
            "middle_name": "BRENNA",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Merrimack, NH

Sources for this page

Verify at the official NPI Registry.