Individual provider Active NPI

Christine Dobson Michelson, APRN

  • Nurse Practitioner
  • Boston, MA
National Provider Identifier
1811257215
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN2280660 Issued in MA
Practice address
55 Fruit St
Boston, MA 02114-2621
Phone
(617) 726-4121
NPI assigned
May 21, 2012
Last updated
Aug 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN2280660 MA Primary
Family Nurse Practitioner 363LF0000X 055144-23 NH

Addresses

Primary practice location

55 Fruit St
Boston, MA 02114-2621

Mailing address

7 Holland Way FL 1
Exeter, NH 03833-2997
Phone (603) 580-7525

Other practice location 1

5 Alumni Dr
Exeter, NH 03833-2128
Phone (603) 580-7525

Other practice location 2

789 Central Ave
Dover, NH 03820-2526
Phone (603) 740-2503

Other identifiers 1

IdentifierTypeStateIssuer
3091044MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120726000034 NH Practitioner - Nurse Practitioner 3476719055 Reassigns benefits to 3 organizations
I20230628004018 MA Practitioner - Nurse Practitioner 3476719055 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The General Hospital Corporation CurrentSince Oct 23, 2023 Accepting new patients
Brigham & Womens Physicians Organization Inc CurrentSince Oct 25, 2023 Accepting new patients
Core Physicians LLC CurrentSince Jun 30, 2014 Accepting new patients
Core Physicians, LLC CurrentSince Jun 30, 2014 Accepting new patients
Valley Regional Hospital Inc. Current Accepting new patients
Minuteclinic Diagnostic of New Hampshire, L.L.C. Family CurrentSince Oct 18, 2021 Accepting new patients
Valley Regional Hospital, Inc. CurrentSince Feb 9, 2021 Accepting new patients
General Hospital Corp Current Accepting new patients
Bruce J Lewis M.D. Current Accepting new patients
Massachusetts General Physicians Organization Inc CurrentSince Oct 23, 2023 Accepting new patients
Valley Regional Hospital ,Inc. CurrentSince Feb 9, 2021 Accepting new patients
Brigham and Womens Physicians Organization Inc Past Accepting new patients
St Joseph Hospital of Nashua NH Past Accepting new patients
Michael P. Romanowsky Family Medicine Past Accepting new patients

Locations

55 Fruit St
Boston, MA 02114

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

75 Francis St
Boston, MA 02115

243 Elm St
Claremont, NH 03743
Phone (603) 542-7771

4 Hall St
Concord, NH 03301
Phone (603) 224-3189

789 Central Ave
Dover, NH 03820
Phone (603) 740-2832

3 Alumni Dr
Ste 301
Exeter, NH 03833
Phone (603) 658-1180

5 Alumni Dr
Exeter, NH 03833
Phone (603) 580-6339

7 Holland Way
#1
Exeter, NH 03833

271 Mammoth Rd
Manchester, NH 03109
Phone (603) 623-3995

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: michelson.christine.mgh@direct.partners.masshiway.net
  • Direct secure messaging: vrhcmiche@yourcarecommunity.org

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1337558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1811257215",
    "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": "603-580-7525",
            "fax_number": "603-580-7542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 FRUIT ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142621",
            "telephone_number": "617-726-4121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Alumni Dr",
            "address_purpose": "LOCATION",
            "city": "Exeter",
            "state": "NH",
            "postal_code": "038332128",
            "country_code": "US",
            "telephone_number": "603-580-7525",
            "fax_number": "603-580-7542",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "789 Central Ave",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "NH",
            "postal_code": "038202526",
            "country_code": "US",
            "telephone_number": "603-740-2503",
            "fax_number": "603-740-2497",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MICHELSON",
        "first_name": "CHRISTINE",
        "middle_name": "DOBSON",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-21",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2280660",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "055144-23",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3091044",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.