Individual provider Active NPI

Glenn Edward Mott, APRN

  • Nurse Practitioner
  • Concord, NH
National Provider Identifier
1881195048
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
048276-23 Issued in NH
Practice address
250 Pleasant St
Concord, NH 03301-2598
Phone
(603) 225-2711
Fax
(603) 224-6527
NPI assigned
Feb 23, 2018
Last updated
Jul 24, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 048276-23 NH Primary
Family Nurse Practitioner 363LF0000X 048276-23 NH
Family Medicine Physician 207Q00000X 048276-23 NH

Addresses

Primary practice location

250 Pleasant St
Concord, NH 03301-2598

Mailing address

250 Pleasant St
Concord, NH 03301-7559
Phone (603) 225-2711

Other practice location 1

74 Pleasant St Ste 204
New London, NH 03257-5881
Phone (603) 526-4635

Other names 1

  • Mr. Glenn Edward Mott Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gmott@crhc.cernerdirect.com Direct

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
I20180326001773 NH Practitioner - Nurse Practitioner 3072875335 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Clearchoicemd, PLLCGroup PAC ID 1850510058, 85 clinicians

Practice addresses (Care Compare)

96 Daniel Webster Hwy
Belmont, NH 03220-3045
Phone (603) 267-0656

Merit-based Incentive Payment System (MIPS)

Final score
89 of 100Reported as apm
Quality
73.23
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Urgent Care Services, LLC CurrentSince Apr 5, 2019 Accepting new patients
Concord Hospital-Franklin CurrentSince Jul 1, 2018 Accepting new patients
Lrghealthcare Family Medicine CurrentSince Jul 1, 2018 Accepting new patients
Clearchoicemd, PLLC CurrentSince Mar 12, 2018 Accepting new patients
Clearchoicemd, PLLC CurrentSince Mar 12, 2018 Accepting new patients
Clearchoicemd Primary Care PLLC Family Medicine Past Accepting new patients

Locations

96 Daniel Webster Hwy
Belmont, NH 03220
Phone (603) 267-0656

250 Pleasant St
Concord, NH 03301
Phone (603) 225-2711

558 Mast Rd
Goffstown, NH 03045
Phone (603) 232-1790

7 Cinemagic Way
Hooksett, NH 03106
Phone (603) 782-5112

80 Highland St
Laconia, NH 03246
Phone (603) 527-7100

410 Miracle Mile
Lebanon, NH 03766
Phone (603) 276-3260

74 Pleasant St
Ste 204
New London, NH 03257

127 Plaistow Rd
Ste 1
Plaistow, NH 03865
Phone (603) 797-9289

Interoperability endpoints

  • Direct secure messaging: gmott@crhc.cernerdirect.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1519344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1881195048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 PLEASANT ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033017559",
            "telephone_number": "603-225-2711",
            "fax_number": "603-224-6527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 PLEASANT ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033012598",
            "telephone_number": "603-225-2711",
            "fax_number": "603-224-6527"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "74 Pleasant St Ste 204",
            "address_purpose": "LOCATION",
            "city": "New London",
            "state": "NH",
            "postal_code": "032575881",
            "country_code": "US",
            "telephone_number": "603-526-4635",
            "fax_number": "603-526-8283",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOTT",
        "first_name": "GLENN",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-23",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NH",
            "license": "048276-23",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "048276-23",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "048276-23",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gmott@crhc.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Concord Hospital Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "250 Pleasant St",
            "city": "Concord",
            "state": "NH",
            "country_code": "US",
            "postal_code": "033012598",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "GLENN",
            "last_name": "MOTT",
            "middle_name": "EDWARD",
            "prefix": "MR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Concord, NH

Sources for this page

Verify at the official NPI Registry.