Individual provider Active NPI

Erica Boheen, MD

  • Pediatrics Physician
  • Epping, NH
National Provider Identifier
1801890579
Registry record updated Feb 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
15283 Issued in NH
Practice address
212 Calef Hwy
Epping, NH 03042-2322
Phone
(603) 693-2100
Fax
(603) 679-1046
NPI assigned
Jun 9, 2005
Last updated
Feb 5, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 15283 NH Primary

Addresses

Primary practice location

212 Calef Hwy
Epping, NH 03042-2322

Mailing address

7 Holland Way FL 1
Exeter, NH 03833-2997
Phone (603) 693-2100

Other identifiers 1

IdentifierTypeStateIssuer
3078047MedicaidNH

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120120000706 NH Practitioner - Pediatric Medicine 8325131261 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
15283NHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Monadnock Community Hospital Current Accepting new patients
Monadnock Community Hospital Pediatrics CurrentSince Oct 3, 2022 Accepting new patients
Appledore Medical Group, Inc PastSince Oct 25, 2011 Accepting new patients

Locations

452 Old Street Rd
Peterborough, NH 03458
Phone (603) 924-4699

454 Old Street Rd
Ste 106
Peterborough, NH 03458
Phone (603) 924-7101

454 Old Street Rd
Ste 107
Peterborough, NH 03458
Phone (603) 924-2600

Interoperability endpoints

  • Direct secure messaging: erica.boheen@mhp.eclinicaldirectplus.com

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": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580860800000",
    "number": "1801890579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 HOLLAND WAY FL 1",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "038332997",
            "telephone_number": "603-693-2100",
            "fax_number": "603-679-1046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 CALEF HWY",
            "city": "EPPING",
            "state": "NH",
            "postal_code": "030422322",
            "telephone_number": "603-693-2100",
            "fax_number": "603-679-1046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHEEN",
        "first_name": "ERICA",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-09",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NH",
            "license": "15283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3078047",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Epping, NH

Sources for this page

Verify at the official NPI Registry.