Individual provider Active NPI

Jessica Nicole Stewart, PA-C

  • Physician Assistant
  • Portsmouth, NH
National Provider Identifier
1821531229
Registry record updated Oct 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1900 Lafayette Rd Ste a
Portsmouth, NH 03801-5679
Phone
(603) 431-1121
Fax
(603) 431-3347
NPI assigned
Dec 2, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2021

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 NH Primary

Addresses

Primary practice location

1900 Lafayette Rd Ste a
Portsmouth, NH 03801-5679

Mailing address

1900 Lafayette Rd Ste a
Portsmouth, NH 03801-5679
Phone (603) 431-1121

Other practice location 1

16 Hospital Dr Ste B
York, ME 03909-1041
Phone (207) 363-3490

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, ME2 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
I20211019002926 NH Practitioner - Physician Assistant 8820486178 Reassigns benefits to 1 organization
I20211112001822 ME Practitioner - Physician Assistant 8820486178 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sportsmedicine Atlantic Orthopaedics PAGroup PAC ID 4587561196, 28 clinicians

Practice addresses (Care Compare)

15 Durham Rd
Suite 108
Dover, NH 03820-4380
Phone (603) 431-1121

16 Hospital Dr
Suite B
York, ME 03909-1041
Phone (207) 363-3490

1900 Lafayette Rd
Suite a
Portsmouth, NH 03801-5679
Phone (603) 431-1121

Hospital & facility affiliations

  • York Hospital Hospital, York, ME, CCN 200020
  • Wentworth-Douglass Hospital Hospital, Dover, NH, CCN 300018
  • Portsmouth Regional Hospital Hospital, Portsmouth, NH, CCN 300029

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sportsmedicine Atlantic Orthopaedics PA CurrentSince Jul 15, 2021 Accepting new patients

Locations

16 Hospital Dr
Ste B
York, ME 03909
Phone (207) 351-8117

15 Durham Rd
Ste 108
Dover, NH 03820
Phone (603) 431-1121

1900 Lafayette Rd
Ste A
Portsmouth, NH 03801
Phone (603) 431-1121

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.

Hospital & facility affiliations 4

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": "1480636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1821531229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 LAFAYETTE RD STE A",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038015679",
            "telephone_number": "603-431-1121",
            "fax_number": "603-431-3347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 LAFAYETTE RD STE A",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038015679",
            "telephone_number": "603-431-1121",
            "fax_number": "603-431-3347"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16 Hospital Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "ME",
            "postal_code": "039091041",
            "country_code": "US",
            "telephone_number": "207-363-3490",
            "fax_number": "603-431-9147",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEWART",
        "first_name": "JESSICA",
        "middle_name": "NICOLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-02",
        "last_updated": "2021-10-27",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, NH

Sources for this page

Verify at the official NPI Registry.