Individual provider Active NPI

Mirno C Pasquali, PA

  • Physician Assistant
  • Laconia, NH
National Provider Identifier
1821061292
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0249 P Issued in NH
Practice address
85 Spring St
Laconia, NH 03246-3113
Phone
(603) 527-2955
Fax
(603) 527-2947
NPI assigned
Feb 8, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0249 P NH Primary

Addresses

Primary practice location

85 Spring St
Laconia, NH 03246-3113

Mailing address

PO Box 1327
Laconia, NH 03247-1327
Phone (603) 524-3211

Other identifiers 1

IdentifierTypeStateIssuer
30330176MedicaidNH

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
I20080628000079 NH Practitioner - Physician Assistant 2961574405 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Florida College of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Speare Health Ventures IncGroup PAC ID 4789901950, 18 clinicians
White Mountain Family Healthcare Littleton IncGroup PAC ID 5799830394, 2 clinicians

Practice addresses (Care Compare)

16 Hospital Rd
Plymouth, NH 03264-1126

178 Daniel Webster Hwy
Suite a
Meredith, NH 03253-5664
Phone (603) 279-6064

389 Tenney Mountain Hwy
Plymouth, NH 03264-3724
Phone (603) 481-8787

580 Saint Johnsbury Rd
Suite K
Littleton, NH 03561-3439
Phone (603) 444-2010

580 Saint Johnsbury Rd K
Littleton, NH 03561-3439

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0249 PNHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Hospital-Laconia CurrentSince May 1, 2021 Accepting new patients
Concord Hospital-Franklin CurrentSince Mar 1, 1999 Accepting new patients
Speare Health Ventures, Inc. CurrentSince Mar 1, 2022 Accepting new patients

Locations

250 Pleasant St
Concord, NH 03301
Phone (603) 225-2711

80 Highland St
Laconia, NH 03246
Phone (603) 527-7100

85 Spring St
Laconia, NH 03246
Phone (603) 524-7402

238 Daniel Webster Hwy
Meredith, NH 03253
Phone (603) 279-7433

16 Hospital Rd
Plymouth, NH 03264
Phone (603) 238-2229

389 Tenney Mountain Hwy
Plymouth, NH 03264
Phone (603) 481-8787

Organizations & group practices 5

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.

Hospital & facility affiliations 5

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": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821061292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1327",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "032471327",
            "telephone_number": "603-524-3211",
            "fax_number": "603-527-7038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 SPRING ST",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "032463113",
            "telephone_number": "603-527-2955",
            "fax_number": "603-527-2947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASQUALI",
        "first_name": "MIRNO",
        "middle_name": "C",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NH",
            "license": "0249 P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30330176",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laconia, NH

Sources for this page

Verify at the official NPI Registry.