Active NPI
Nicholas Peter Kershbaumer, APRN
- Primary Care Nurse Practitioner
- Amherst, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 067955-23
- Practice address
- 199 Route 101
Meeting Place Plaza
Amherst, NH 03031 - Phone
- (603) 249-3000
- NPI assigned
- Jun 29, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 067955-23 | NH | Primary |
Addresses
Primary practice location
199 Route 101
Meeting Place Plaza
Amherst, NH 03031
Mailing address
PO Box 1220
Amherst, NH 03031-1220
Phone (603) 249-3000
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, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
20 Chambers Dr
Hooksett, NH 03106-1981
275 Mammoth Rd
Manchester, NH 03109-4133
Hospital & facility affiliations
- Vna Home Health and Hospice Services, Inc
- Elliot Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 067955-23 | NH | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elliot Physicians Network | Current | Accepting new patients | |
| Elliot Physicians Network | Past | Accepting new patients | |
| Elliot Professional Services | Past | Accepting new patients |
Locations
25 S River Rd
Bedford, NH 03110
Phone (603) 626-4392
20 Chambers Dr
Ste 2200
Hooksett, NH 03106
Phone (603) 641-5386
20 Chambers Dr
Ste 1200
Hooksett, NH 03106
Phone (603) 624-8652
275 Mammoth Rd
Ste 1
Manchester, NH 03109
Phone (603) 663-3222
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Manchester, NH
- NPI 1831191659
-
- Internal Medicine Physician
- Manchester, NH
- NPI 1962493940
-
- Internal Medicine Physician
- Manchester, NH
- NPI 1285627935
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Manchester, NH
- NPI 1902996028
-
- Home Health Agency
- Manchester, NH
- NPI 1548312705
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1498694400000",
"number": "1821519836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1220",
"city": "AMHERST",
"state": "NH",
"postal_code": "030311220",
"telephone_number": "603-249-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "199 ROUTE 101",
"address_2": "MEETING PLACE PLAZA",
"city": "AMHERST",
"state": "NH",
"postal_code": "03031",
"telephone_number": "603-249-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERSHBAUMER",
"first_name": "NICHOLAS",
"middle_name": "PETER",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-29",
"last_updated": "2017-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "NH",
"license": "067955-23",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Amherst, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2017; 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.