NPIMap

Individual provider Active NPI

Megan M Sottak, APRN

  • Family Nurse Practitioner
  • Gilford, NH
National Provider Identifier
1750810347
Registry record updated Jul 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
056352-23 Issued in NH
Practice address
Hillside Family Medicine
14 Maple Street
Gilford, NH 03249-6578
Phone
(603) 527-7114
Fax
(603) 527-2945
NPI assigned
Jun 7, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 056352-23 NH
Family Nurse Practitioner 363LF0000X 056352-23 NH Primary

Addresses

Primary practice location

Hillside Family Medicine
14 Maple Street
Gilford, NH 03249-6578

Mailing address

PO Box 1327
Laconia, NH 03247-1327
Phone (603) 934-2060

Other identifiers 1

IdentifierTypeStateIssuer
3110623MedicaidNH

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
I20171018000405 NH Practitioner - Nurse Practitioner 9638445778 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Concord Hospital IncGroup PAC ID 6103721790, 572 clinicians
Concord Hospital-LaconiaGroup PAC ID 7012326259, 275 clinicians

Practice addresses (Care Compare)

1 Interchange Dr
Concord, NH 03301-1807
Phone (603) 789-9120

14 Maple St
Gilford, NH 03249-6580

238 Daniel Webster Hwy
Meredith, NH 03253-5803
Phone (603) 279-7464

Hospital & facility affiliations

  • Lakes Region Visiting Nurse Association Home health agency, Meredith, NH, CCN 307013
  • Granite Vna, Inc Home health agency, Concord, NH, CCN 307000
  • Granite Vna, Inc. Hospice, Concord, NH, CCN 301500
  • Concord Hospital- Laconia Hospital, Laconia, NH, CCN 300005
  • Concord Hospital Hospital, Concord, NH, CCN 300001
  • Concord Hospital- Franklin Hospital, Franklin, NH, CCN 301306

Merit-based Incentive Payment System (MIPS)

Final score
89 of 100Reported as apm
Quality
73.23
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lrghealthcare Family Medicine CurrentSince Jul 23, 2018 Accepting new patients
Concord Hospital-Franklin CurrentSince Jul 23, 2018 Accepting new patients
Concord Hospital-Laconia Family Medicine CurrentSince May 1, 2021 Accepting new patients
Concord Hospital, Inc. PastSince May 19, 2026 Accepting new patients
Clearchoicemd Primary Care PLLC Family Medicine Past Accepting new patients
Concord Hospital-Laconia Past Accepting new patients

Locations

250 Pleasant St
Concord, NH 03301
Phone (603) 225-2711

14 Maple St
Ste 210
Gilford, NH 03249
Phone (603) 524-2073

14 Maple St
Gilford, NH 03249
Phone (603) 524-5816

14 Maple St
Unit E1
Gilford, NH 03249
Phone (603) 527-8127

80 Highland St
Laconia, NH 03246
Phone (603) 527-7100

238 Daniel Webster Hwy
Meredith, NH 03253
Phone (603) 279-7464

101 Boulder Point Dr
Ste 1
Plymouth, NH 03264
Phone (603) 238-3537

Organizations & group practices 7

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.

Hospital & facility affiliations 7

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": "1496793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532995200000",
    "number": "1750810347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1327",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "032471327",
            "telephone_number": "603-934-2060",
            "fax_number": "603-527-7038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HILLSIDE FAMILY MEDICINE",
            "address_2": "14 MAPLE STREET",
            "city": "GILFORD",
            "state": "NH",
            "postal_code": "032496578",
            "telephone_number": "603-527-7114",
            "fax_number": "603-527-2945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTTAK",
        "first_name": "MEGAN",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-07",
        "last_updated": "2018-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "056352-23",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "056352-23",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3110623",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilford, NH

Sources for this page

Verify at the official NPI Registry.