NPIMap

Individual provider Active NPI

Donald Joseph Perreault Jr., AGACNP-BC

  • Critical Care Medicine Nurse Practitioner
  • Lebanon, NH
National Provider Identifier
1871956680
Registry record updated Mar 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine Nurse PractitionerTaxonomy code 363LC0200X
License
055355-23 Issued in NH
Practice address
1 Medical Center Dr
DHMC- Dept. of Medicine
Lebanon, NH 03756-1000
Phone
(603) 650-4790
NPI assigned
Mar 30, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Nurse Practitioner 363LC0200X 055355-23 NH Primary
Critical Care Medicine Nurse Practitioner 363LC0200X 101.0118606 VT

Addresses

Primary practice location

1 Medical Center Dr
DHMC- Dept. of Medicine
Lebanon, NH 03756-1000

Mailing address

1 Medical Center Dr
DHMC- Dept. of Medicine
Lebanon, NH 03756-1000
Phone (603) 650-4790

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, VT2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160525000297 NH Practitioner - Nurse Practitioner 0840589263 Reassigns benefits to 3 organizations
I20220524001492 VT Practitioner - Nurse Practitioner 0840589263 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dartmouth-Hitchcock ClinicGroup PAC ID 4183537509, 1,445 clinicians
Rutland Hospital, Inc.Group PAC ID 7214846377, 186 clinicians

Practice addresses (Care Compare)

1 Medical Ctr Dr
Lebanon, NH 03756-1000
Phone (603) 650-5000

160 Allen St
Rutland, VT 05701-4560
Phone (802) 775-7111

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
101.0118606VTMDCritical Care Medicine Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Medical Center CurrentSince May 6, 2018 Accepting new patients
Rutland Hospital, Inc. CurrentSince Apr 1, 2024 Accepting new patients
Catholic Medical Center CurrentSince May 6, 2018 Accepting new patients
Gifford Medical Center Inc. CurrentSince May 6, 2022 Accepting new patients
Gifford Medical Center Inc CurrentSince May 6, 2022 Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince Apr 11, 2016 Accepting new patients
Dartmouth-Hitchcock Clinic CurrentSince Apr 11, 2016 Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince Apr 11, 2016 Accepting new patients
Rutland Hospital, Inc. CurrentSince Apr 1, 2024 Accepting new patients

Locations

1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922

100 McGregor St
Manchester, NH 03102
Phone (603) 663-6931

44 S Main St
Randolph, VT 05060
Phone (802) 728-4441

160 Allen St
Rutland, VT 05701

Interoperability endpoints

  • Direct secure messaging: dperreault220540@direct.dartmouth-hitchcock.org

Organizations & group practices 9

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1459296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459296000000",
    "number": "1871956680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER DR",
            "address_2": "DHMC- DEPT. OF MEDICINE",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037561000",
            "telephone_number": "603-650-4790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER DR",
            "address_2": "DHMC- DEPT. OF MEDICINE",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037561000",
            "telephone_number": "603-650-4790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERREAULT",
        "first_name": "DONALD",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-30",
        "last_updated": "2016-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "NH",
            "license": "055355-23",
            "primary": true
        },
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "VT",
            "license": "101.0118606",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, NH

Sources for this page

Verify at the official NPI Registry.