Elizabeth Blain, APRN
Individual provider Active NPI Acute Care Nurse Practitioner · Lebanon, NH
NPI 1831996156 · NPPES record last updated Dec 9, 2025
Key facts
- NPI
- 1831996156
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acute Care Nurse Practitioner 363LA2100X
- License
- 076400-23 (NH)
- Practice address
- 1 Medical Center Dr
Lebanon, NH 03756-0001 - Phone
- (603) 650-5000
- Fax
- (603) 640-1228
- NPI assigned
- Feb 25, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Dartmouth-Hitchcock Clinic
Alice Peck Day Memorial Hospital
Practice addresses (Care Compare)
1 Medical Ctr Dr
Lebanon, NH 03756-1000
Phone (603) 650-5000
10 Alice Peck Day Dr
Lebanon, NH 03766-2900
Phone (603) 448-3121
Hospital & facility affiliations
- Mary Hitchcock Memorial Hospital
- Alice Peck Day Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250307001788 | NH | Practitioner - Nurse Practitioner | 9537680426 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dartmouth-Hitchcock Clinic | Current |
Accepting new patients | |
| Alice Peck Day Memorial Hospital | Current |
Accepting new patients | |
| Mary Hitchcock Memorial Hospital | Current |
Accepting new patients | |
| Mary Hitchcock Memorial Hospital | Current |
Accepting new patients | |
| Alice Peck Day Memorial Hospital | Current | Accepting new patients | |
| Alice Peck Day Memorial Hospital | Current |
Accepting new patients |
Locations
1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922
10 Alice Peck Day Dr
Lebanon, NH 03766
Phone (603) 448-7440
5 Alice Peck Day Dr
Lebanon, NH 03766
Phone (603) 448-3996
44 S Main St
Randolph, VT 05060
Phone (802) 728-4441
Interoperability endpoints
- https://edhwebportal.hitchcock.org/FHIRProxy/api/FHIR/R4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 076400-23 | NH | Yes |
Addresses
Primary practice location
1 Medical Center Dr
Lebanon, NH 03756-0001
Mailing address
PO Box 810
Hanover, NH 03755-0810
Other practice location 1
10 Alice Peck Day Dr
Lebanon, NH 03766-2900
Phone (603) 448-3121
Other providers in Lebanon, NH
- Emily Susan Bisson
- Brandi Bissonnette
- Candice Black
- Rebecca M Black
- William C Black
- Kathleen Blain
- Abigail M Blake
- Zaharoula Blanas
- Jenna Marie Blanchard
- Misty Marie Blanchette Porter
All providers in Lebanon, NH · Acute Care Nurse Practitioner in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 9, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.