Individual provider Active NPI

Stephanie Ayan, APRN

  • Family Nurse Practitioner
  • Portsmouth, NH
National Provider Identifier
1861738320
Registry record updated Jan 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
045238-23 Issued in NH
Practice address
100 Campus Dr
Suite 12
Portsmouth, NH 03801-5892
Phone
(603) 422-8208
Fax
(603) 422-8218
NPI assigned
Jan 2, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2013

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 045238-23 NH Primary

Addresses

Primary practice location

100 Campus Dr
Suite 12
Portsmouth, NH 03801-5892

Mailing address

100 Campus Dr
Suite 12
Portsmouth, NH 03801-5892

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
I20130129000274 NH Practitioner - Nurse Practitioner 4284888223 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Addiction Wellness Center NH LLCGroup PAC ID 0941735963, 7 clinicians

Practice addresses (Care Compare)

814 Elm St
Suite 313
Manchester, NH 03101-2130
Phone (603) 321-0084

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Addiction Wellness Center NH LLC CurrentSince Oct 4, 2025 Accepting new patients

Locations

1100 Business Pkwy S
Ste 1
Westminster, MD 21157

814 Elm St
Ste 313
Manchester, NH 03101
Phone (603) 321-0084

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.

NPI Registry JSON

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

{
    "created_epoch": "1357084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357084800000",
    "number": "1861738320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CAMPUS DR",
            "address_2": "SUITE 12",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038015892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CAMPUS DR",
            "address_2": "SUITE 12",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038015892",
            "telephone_number": "603-422-8208",
            "fax_number": "603-422-8218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYAN",
        "first_name": "STEPHANIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-02",
        "last_updated": "2013-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "045238-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, NH

Sources for this page

Verify at the official NPI Registry.