Active NPI
Susan Lessard, ARNP
- Family Nurse Practitioner
- Berlin, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 02885522303
- Practice address
- 59 Page Hill Rd
Berlin, NH 03570-3531 - Phone
- (603) 752-2040
- Fax
- (603) 752-7797
- NPI assigned
- Aug 10, 2005
- Last updated
- Mar 7, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 02885522303 | NH | Primary |
Addresses
Primary practice location
59 Page Hill Rd
Berlin, NH 03570-3531
Mailing address
59 Page Hill Rd
Berlin, NH 03570-3531
Phone (603) 752-5797
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0288525001 | Other | NH | CIGNA HEALTHCARE |
| P00141335 | Other | RAILROAD MEDICARE | |
| 2306306YPNH02 | Other | NH | ANTHEM BC/BS |
| 30011412 | Medicaid | NH | |
| 0285522303 | Other | NH | STATE LICENSE # |
| 5830418 | Other | AETNA GROUP |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
59 Page Hill Rd
Berlin, NH 03570-3531
Phone (603) 752-2200
7 Page Hill Rd
Berlin, NH 03570-3531
Phone (603) 752-2300
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02885522303 | NH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Androscoggin Valley Hospital, Inc. | Current | Accepting new patients | |
| Coos County Family Health Services, Inc. | Family | Past | Accepting new patients |
Locations
59 Page Hill Rd
Berlin, NH 03570
Phone (603) 752-2200
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Androscoggin Valley Hospital | Hospital | Corporate Director | Jan 1, 2024 |
Owned or controlled facilities with NPI records 2
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba AVH Surgical Associates
- General Practice Physician
- Berlin, NH
- NPI 1679526644
Corporate Director
-
- Critical Access Hospital
- Berlin, NH
- NPI 1386680593
Corporate Director
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Critical Access Hospital
- Berlin, NH
- NPI 1386680593
-
dba AVH Surgical Associates
- General Practice Physician
- Berlin, NH
- NPI 1679526644
-
- Federally Qualified Health Center (FQHC)
- Berlin, NH
- NPI 1427050012
Family
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba AVH Surgical Associates
- General Practice Physician
- Berlin, NH
- NPI 1679526644
Hospital
-
- Critical Access Hospital
- Berlin, NH
- NPI 1386680593
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1871595876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "59 PAGE HILL RD",
"city": "BERLIN",
"state": "NH",
"postal_code": "035703531",
"telephone_number": "603-752-5797",
"fax_number": "603-752-8231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "59 PAGE HILL RD",
"city": "BERLIN",
"state": "NH",
"postal_code": "035703531",
"telephone_number": "603-752-2040",
"fax_number": "603-752-7797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LESSARD",
"first_name": "SUSAN",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-10",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NH",
"license": "02885522303",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HEALTHCARE",
"identifier": "0288525001",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00141335",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "2306306YPNH02",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30011412",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE #",
"identifier": "0285522303",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA GROUP",
"identifier": "5830418",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Berlin, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.