Active NPI
Nicole S Rembisz, APRN
- Primary Care Nurse Practitioner
- Newington, NH
National Provider Identifier
1801003595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 057698-23
- Practice address
- 100 Shattuck Way Ste 100
Newington, NH 03801-8007 - Phone
- (603) 431-6677
- NPI assigned
- May 16, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | CNP101062 | ME | |
| Primary Care Nurse Practitioner | 363LP2300X | 057698-23 | NH | Primary |
Addresses
Primary practice location
100 Shattuck Way Ste 100
Newington, NH 03801-8007
Mailing address
100 Shattuck Way Ste 100
Newington, NH 03801-8007
Phone (603) 431-6677
Other practice location 1
10 Members Way
Suite 203
Dover, NH 03820-5933
Phone (603) 742-3174
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3075387 | Medicaid | NH | |
| 1801003595 | Medicaid | ME | |
| P00663897 | Other | NH | MEDICARE RR |
Other names 1
- Nicole S Roy
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
100 Shattuck Way
Suite 100
Newington, NH 03801-8007
Phone (603) 431-6677
Hospital & facility affiliations
- York Hospital
- Wentworth-Douglass Hospital
- Portsmouth Regional Hospital
- Exeter Hospital Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNP101062 | ME | MD | Primary Care Nurse Practitioner |
| 057698-23 | NH | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Whole Life Health Care, PA | Primary Care | Current | Accepting new patients |
Locations
100 Shattuck Way
Ste 100
Portsmouth, NH 03801
Phone (603) 347-8810
Interoperability endpoints
- nicole.rembisz.1@9362.direct.athenahealth.com
- https://api.platform.athenahealth.com/9362/brand/1/csg/1/fhir/r4
Organizations & group practices 1
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.
-
- Primary Care Nurse Practitioner
- Newington, NH
- NPI 1770646614
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Exeter, NH
- NPI 1437158433
-
- General Acute Care Hospital
- Portsmouth, NH
- NPI 1518913607
-
- General Acute Care Hospital
- Dover, NH
- NPI 1033118104
-
- General Acute Care Hospital
- York, ME
- NPI 1376528398
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716422400000",
"number": "1801003595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 SHATTUCK WAY STE 100",
"city": "NEWINGTON",
"state": "NH",
"postal_code": "038018007",
"telephone_number": "603-431-6677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 SHATTUCK WAY STE 100",
"city": "NEWINGTON",
"state": "NH",
"postal_code": "038018007",
"telephone_number": "603-431-6677"
}
],
"practiceLocations": [
{
"address_1": "10 Members Way",
"address_2": "Suite 203",
"address_purpose": "LOCATION",
"city": "Dover",
"state": "NH",
"postal_code": "038205933",
"country_code": "US",
"telephone_number": "603-742-3174",
"fax_number": "603-742-1855",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REMBISZ",
"first_name": "NICOLE",
"middle_name": "S",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-16",
"last_updated": "2024-05-23",
"certification_date": "2024-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "ME",
"license": "CNP101062",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "NH",
"license": "057698-23",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3075387",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1801003595",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR",
"identifier": "P00663897",
"state": "NH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "NICOLE",
"last_name": "ROY",
"middle_name": "S",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Newington, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.