Individual provider Active NPI

Pamela Rosen, APRN

  • Family Nurse Practitioner
  • Bedford, NH
National Provider Identifier
1760805188
Registry record updated Apr 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
051917-23 Issued in NH
Practice address
15 Constitution Dr Ste 1L
Elliot Family Practice at Bedford Village
Bedford, NH 03110-6002
Phone
(603) 472-7233
NPI assigned
Jan 22, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2017

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 051917-23 NH Primary

Addresses

Primary practice location

15 Constitution Dr Ste 1L
Elliot Family Practice at Bedford Village
Bedford, NH 03110-6002

Mailing address

15 Constitution Dr Ste 1L
Elliot Family Practice at Bedford Village
Bedford, NH 03110-6002
Phone (603) 472-7233

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
I20140616002297 NH Practitioner - Nurse Practitioner 6406070317 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elliot Physicians NetworkGroup PAC ID 6406743988, 78 clinicians

Practice addresses (Care Compare)

25 Leavey Dr
Bedford, NH 03110-4437
Phone (603) 472-7233

275 Mammoth Rd
Manchester, NH 03109-4133

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Supportive Care of New Hampshire LLC CurrentSince Jan 15, 2025 Accepting new patients
Elliot Physicians Network CurrentSince Apr 30, 2017 Accepting new patients
Compass of Hope LLC Past Accepting new patients
Cheshire Medical Center PastSince Nov 27, 2016 Accepting new patients

Locations

15 Constitution Dr
Ste 157
Bedford, NH 03110

25 Leavey Dr
Bedford, NH 03110
Phone (603) 472-7233

25 S River Rd
Bedford, NH 03110
Phone (603) 626-4392

15 Constitution Dr
Ste 1L
Bedford, NH 03110
Phone (603) 472-7233

20 Chester Rd
Derry, NH 03038
Phone (603) 432-3801

11 Kimball Dr
Unit 104
Hooksett, NH 03106
Phone (603) 824-3555

11 Kimball Dr
Ste 104105
Hooksett, NH 03106
Phone (603) 824-3555

275 Mammoth Rd
Ste 1
Manchester, NH 03109
Phone (603) 663-3222

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

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.

Hospital & facility affiliations 1

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": "1390348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493510400000",
    "number": "1760805188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 CONSTITUTION DR STE 1L",
            "address_2": "ELLIOT FAMILY PRACTICE AT BEDFORD VILLAGE",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106002",
            "telephone_number": "603-472-7233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 CONSTITUTION DR STE 1L",
            "address_2": "ELLIOT FAMILY PRACTICE AT BEDFORD VILLAGE",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106002",
            "telephone_number": "603-472-7233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEN",
        "first_name": "PAMELA",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-22",
        "last_updated": "2017-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "051917-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, NH

Sources for this page

Verify at the official NPI Registry.