Individual provider Active NPI

Pamela Urick

  • Family Nurse Practitioner
  • Nashua, NH
National Provider Identifier
1760004337
Registry record updated Jun 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
052233-23 Issued in NH
Practice address
45 High St
Nashua, NH 03060-3312
Phone
(603) 821-7788
Fax
(603) 821-5620
NPI assigned
May 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2023

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 052233-23 NH Primary

Addresses

Primary practice location

45 High St
Nashua, NH 03060-3312

Mailing address

77 Northeastern Blvd
Nashua, NH 03062-3128
Phone (603) 882-3616

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
I20220607001889 NH Practitioner - Nurse Practitioner 3476931254 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Harbor Homes, Inc.Group PAC ID 4587714779, 14 clinicians

Practice addresses (Care Compare)

45 High St
Nashua, NH 03060-3312
Phone (603) 821-7788

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
052233-23NHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Harbor Homes, Inc. CurrentSince Feb 2, 2024 Accepting new patients
Keith D. Jorgensen, MD, PA CurrentSince Feb 23, 2022 Accepting new patients
Harbor Homes, Inc CurrentSince Feb 2, 2024 Accepting new patients
Harbor Homes, Inc. Past Accepting new patients

Locations

44 Birch St
Ste 304
Derry, NH 03038
Phone (603) 432-8104

45 High St
Nashua, NH 03060
Phone (603) 821-7788

615 Amherst St
Nashua, NH 03063
Phone (603) 821-7788

77 Northeastern Blvd
Nashua, NH 03062
Phone (603) 882-3616

Organizations & group practices 4

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": "1589673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686873600000",
    "number": "1760004337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 NORTHEASTERN BLVD",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030623128",
            "telephone_number": "603-882-3616",
            "fax_number": "603-595-7414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 HIGH ST",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030603312",
            "telephone_number": "603-821-7788",
            "fax_number": "603-821-5620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URICK",
        "first_name": "PAMELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-17",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "052233-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

Verify at the official NPI Registry.