Individual provider Active NPI

Myles St Jonn, FNP

  • Family Nurse Practitioner
  • Penacook, NH
National Provider Identifier
1821545104
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
115286-23 Issued in NH
Practice address
4 Crescent St
Penacook, NH 03303-1468
Phone
(603) 753-4302
Fax
(603) 227-7570
NPI assigned
Sep 5, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 115286-23 NH Primary
Family Nurse Practitioner 363LF0000X APRN-104589 MT

Addresses

Primary practice location

4 Crescent St
Penacook, NH 03303-1468

Mailing address

250 Pleasant St
Concord, NH 03301-2598
Phone (603) 227-7000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mstjonn@crhc.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT, NH2 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
I20160930001909 MT Practitioner - Nurse Practitioner 9436446655 Reassigns benefits to 2 organizations
I20251008003244 NH Practitioner - Nurse Practitioner 9436446655 Reassigns benefits to 1 organization

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
Bozeman Creek Family Health PLLCGroup PAC ID 5890742571, 12 clinicians
Concord Hospital IncGroup PAC ID 6103721790, 572 clinicians

Practice addresses (Care Compare)

316 E Babcock St
Bozeman, MT 59715-4710
Phone (406) 585-0022

4 Crescent St
Penacook, NH 03303-1412
Phone (603) 753-4302

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN-104589MTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Hospital, Inc. CurrentSince Oct 14, 2025 Accepting new patients
Concord Hospital, Inc. CurrentSince Oct 14, 2025 Accepting new patients
Bighorn Valley Health Center, Incorporated CurrentSince Sep 15, 2016 Accepting new patients
Concord Hospital, Inc. Current Accepting new patients
Bozeman Creek Family Health, PLLC CurrentSince Aug 1, 2023 Accepting new patients
Bighorn Valley Health Center, Incorporated CurrentSince Sep 15, 2016 Accepting new patients

Locations

19 E Main St
Belgrade, MT 59714
Phone (406) 222-1111

316 E Babcock St
Bozeman, MT 59715
Phone (406) 539-5393

214 E Mendenhall St
Bozeman, MT 59715
Phone (406) 585-1360

915 Highland Blvd
Bozeman, MT 59715
Phone (406) 414-1720

112 W Lewis St
Livingston, MT 59047
Phone (406) 222-1111

246 Pleasant St
Concord, NH 03301
Phone (603) 224-1223

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

4 Crescent St
Penacook, NH 03303
Phone (603) 753-4302

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GIGHCD

Organizations & group practices 6

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 1

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": "1473033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1821545104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 PLEASANT ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033012598",
            "telephone_number": "603-227-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 CRESCENT ST",
            "city": "PENACOOK",
            "state": "NH",
            "postal_code": "033031468",
            "telephone_number": "603-753-4302",
            "fax_number": "603-227-7570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST JONN",
        "first_name": "MYLES",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-05",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "115286-23",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "APRN-104589",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mstjonn@crhc.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Concord Hospital direct email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "4 Crescent St",
            "city": "Penacook",
            "state": "NH",
            "country_code": "US",
            "postal_code": "033031468",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Penacook, NH

Sources for this page

Verify at the official NPI Registry.