Individual provider Active NPI

Rosemary Hydrisko Dougherty, NP

  • Family Nurse Practitioner
  • Concord, NH
National Provider Identifier
1760679476
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
034796-23 Issued in NH
Practice address
117 Manchester St Ste 5a
Concord, NH 03301-5101
Phone
(603) 606-9357
Fax
(603) 217-2075
NPI assigned
Sep 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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 034796-23 NH Primary

Addresses

Primary practice location

117 Manchester St Ste 5a
Concord, NH 03301-5101

Mailing address

117 Manchester St Ste 5a
Concord, NH 03301-5101
Phone (603) 606-9357

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
I20220719000743 NH Practitioner - Nurse Practitioner 4082932207 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
State of New Hampshire CurrentSince Jun 14, 2022 Accepting new patients
Comprehensive Collaborative Care LLC CurrentSince Oct 12, 2025 Accepting new patients
State of New Hampshire CurrentSince Jun 14, 2022 Accepting new patients

Locations

36 Clinton St
Concord, NH 03301
Phone (603) 271-5075

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1760679476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 MANCHESTER ST STE 5A",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033015101",
            "telephone_number": "603-606-9357",
            "fax_number": "603-217-2075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 MANCHESTER ST STE 5A",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033015101",
            "telephone_number": "603-606-9357",
            "fax_number": "603-217-2075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGHERTY",
        "first_name": "ROSEMARY",
        "middle_name": "HYDRISKO",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-26",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "034796-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NH

Sources for this page

Verify at the official NPI Registry.