NPIMap

Individual provider Active NPI

Heidi Crusberg, M.D.

  • Family Medicine Physician
  • Raymond, NH
National Provider Identifier
1881693968
Registry record updated Mar 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
10446 Issued in NH
Practice address
128 Route 27
Raymond, NH 03077-1220
Phone
(603) 895-3351
Fax
(603) 895-0773
NPI assigned
Jul 20, 2005
Last updated
Mar 6, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 10446 NH Primary

Addresses

Primary practice location

128 Route 27
Raymond, NH 03077-1220

Mailing address

128 Route 27
Raymond, NH 03077-1220
Phone (603) 895-3351

Other identifiers 1

IdentifierTypeStateIssuer
30200048MedicaidNH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051219000137 NH Practitioner - Family Practice 0648291690 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Johns Hopkins University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lamprey Health Care IncGroup PAC ID 3577535319, 52 clinicians

Practice addresses (Care Compare)

207 S Main St
Newmarket, NH 03857-1843
Phone (603) 659-3106

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Lamprey Health Care Inc CurrentSince Dec 8, 1998 Accepting new patients
Lamprey Health Care Inc Family Medicine Current Accepting new patients
Lamprey Health Care Inc Family Medicine CurrentSince Dec 8, 1998 Accepting new patients
County of Rockingham Past Accepting new patients

Locations

207 S Main St
Newmarket, NH 03857
Phone (603) 659-3106

128 State Route 27
Raymond, NH 03077

Interoperability endpoints

  • Direct secure messaging: heidi.crusberg.1@28541.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 12

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": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362528000000",
    "number": "1881693968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 ROUTE 27",
            "city": "RAYMOND",
            "state": "NH",
            "postal_code": "030771220",
            "telephone_number": "603-895-3351",
            "fax_number": "603-895-8003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 ROUTE 27",
            "city": "RAYMOND",
            "state": "NH",
            "postal_code": "030771220",
            "telephone_number": "603-895-3351",
            "fax_number": "603-895-0773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUSBERG",
        "first_name": "HEIDI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-20",
        "last_updated": "2013-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "10446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30200048",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raymond, NH

Sources for this page

Verify at the official NPI Registry.