Individual provider Active NPI

Norrine McNelley, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Salem, NH
National Provider Identifier
1861970972
Registry record updated Feb 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2291388 Issued in MA
Practice address
202 Main St Ste 102
Salem, NH 03079-3170
Phone
(603) 892-9922
Fax
(603) 458-1329
NPI assigned
Jul 31, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2291388 MA Primary

Addresses

Primary practice location

202 Main St Ste 102
Salem, NH 03079-3170

Mailing address

202 Main St Ste 102
Salem, NH 03079-3170
Phone (603) 892-9922

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20191002002109 MA Practitioner - Nurse Practitioner 1052641172 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2291388MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc CurrentSince Jul 7, 2019 Accepting new patients
Advanced Psych Care PLLC Community/Behavioral Health Current Accepting new patients
Steward Medical Group, Inc CurrentSince Jul 7, 2019 Accepting new patients

Locations

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

9 Galen St
Watertown, MA 02472
Phone (617) 562-5413

500 North Commercial St
Ste 502CR
Manchester, NH 03101
Phone (603) 892-9922

Organizations & group practices 3

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": "1532995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612224000000",
    "number": "1861970972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 MAIN ST STE 102",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030793170",
            "telephone_number": "603-892-9922",
            "fax_number": "603-458-1329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 MAIN ST STE 102",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030793170",
            "telephone_number": "603-892-9922",
            "fax_number": "603-458-1329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNELLEY",
        "first_name": "NORRINE",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-31",
        "last_updated": "2021-02-02",
        "certification_date": "2021-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2291388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, NH

Sources for this page

Verify at the official NPI Registry.