Kelly Pelletier, ARNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

20100054 Issued in NH

Practice address

677 Court St
Keene, NH 03431-1702

Phone

(603) 357-3800

NPI assigned

Apr 7, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Medcare NH LLC

  • Registered Nurse
  • Rochester, NH
  • NPI 1770250318
  Medicare reassignment NPD

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

{
    "created_epoch": "1586217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586217600000",
    "number": "1770112195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 MERRILL DR",
            "city": "BENNINGTON",
            "state": "NH",
            "postal_code": "034424510",
            "telephone_number": "603-748-7496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "677 COURT ST",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034311702",
            "telephone_number": "603-357-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLETIER",
        "first_name": "KELLY",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-07",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NH",
            "license": "20100054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peak Healthcare at Keene LLC
• Peak Performance Fitness and Rehabilitation LLC
• Jason E Peck
• Erica Peery, NP-C
• Jocelyn Pellerin, OTR/L
• Stephanie Pena, LMT
• Kelly A Penna, BA
• Wade Hampton Penny III, M.D.
• Allen Penrod, MA, MS, MLADC
• Sharmon Perham

• Primary Care Nurse Practitioner in Keene, NH
• Providers in Keene, NH by specialty
• Primary Care Nurse Practitioner in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.