Individual provider Active NPI

Trevor Lippincott, NP-C

  • Family Nurse Practitioner
  • Salem, NH
National Provider Identifier
1861178410
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
081936-23 Issued in NH
Practice address
31 Stiles Rd Ste 2100
Salem, NH 03079-3035
Phone
(603) 942-2020
NPI assigned
Jun 27, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 081936-23 NH Primary

Addresses

Primary practice location

31 Stiles Rd Ste 2100
Salem, NH 03079-3035

Mailing address

111 New Hampshire Ave Ste 2
Portsmouth, NH 03801-2864
Phone (603) 942-2020

Other practice location 1

176 S River Rd
Bedford, NH 03110-7061
Phone (603) 942-2020

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
I20231110000183 NH Practitioner - Nurse Practitioner 2365899416 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optima Dermatology LLCGroup PAC ID 3971561648, 74 clinicians

Practice addresses (Care Compare)

1 Hampton Rd
Suite A306
Exeter, NH 03833-4848
Phone (603) 294-4635

176 S River Rd
Bedford, NH 03110-7061
Phone (603) 942-2003

23 Portsmouth Ave
Stratham, NH 03885-2520
Phone (603) 942-2171

31 Stiles Rd
Suite 2100
Salem, NH 03079-3035
Phone (603) 942-2020

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as individual
Promoting interoperability
99
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Optima Dermatology LLC CurrentSince Nov 1, 2023 Accepting new patients
Advanced Dermatology and Skin Cancer Center Past Accepting new patients

Locations

176 S River Rd
Bedford, NH 03110
Phone (603) 644-8334

1 Hampton Rd
Ste A306
Exeter, NH 03833
Phone (603) 294-4635

135 Hooksett Rd
Manchester, NH 03104
Phone (603) 441-1076

111 New Hampshire Ave
Ste 2
Portsmouth, NH 03801
Phone (603) 319-4490

31 Stiles Rd
Ste 2100
Salem, NH 03079
Phone (603) 894-0500

23 Portsmouth Ave
Stratham, NH 03885
Phone (603) 942-2171

987 Boardman Canfield Rd
Youngstown, OH 44512
Phone (330) 271-8589

Interoperability endpoints

  • Direct secure messaging: tlippincottnp@optima.emadirect.md

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1687824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1861178410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 NEW HAMPSHIRE AVE STE 2",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038012864",
            "telephone_number": "603-942-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 STILES RD STE 2100",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030793035",
            "telephone_number": "603-942-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "176 S River Rd",
            "address_purpose": "LOCATION",
            "city": "Bedford",
            "state": "NH",
            "postal_code": "031107061",
            "country_code": "US",
            "telephone_number": "603-942-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIPPINCOTT",
        "first_name": "TREVOR",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-27",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "081936-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, NH

Sources for this page

Verify at the official NPI Registry.