NPIMap

Individual provider Active NPI

Alexis Chamberlain Gadwah, MSN, RN, FNP-C

  • Family Nurse Practitioner
  • Keene, NH
National Provider Identifier
1891263877
Registry record updated Aug 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
079344-23 Issued in NH
Practice address
590 Court St
Keene, NH 03431-1719
Phone
(603) 354-5400
NPI assigned
Nov 7, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 026.0095813 VT
Family Nurse Practitioner 363LF0000X 079344-23 NH Primary

Addresses

Primary practice location

590 Court St
Keene, NH 03431-1719

Mailing address

62 Collins Landing Rd Unit 54
Weare, NH 03281-4022
Phone (603) 562-5243

Other practice location 1

62 Collins Landing Rd Unit 54
Weare, NH 03281-4022
Phone (603) 562-5243

Other practice location 2

580 Court St
Keene, NH 03431-1718
Phone (603) 354-5400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NH2 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
I20200626000003 TX Practitioner - Nurse Practitioner 7113349820 Reassigns benefits to 1 organization
I20220912000279 NH Practitioner - Nurse Practitioner 7113349820 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cheshire Medical CenterGroup PAC ID 1456260165, 165 clinicians
Dartmouth-Hitchcock ClinicGroup PAC ID 4183537509, 1,445 clinicians
Mary Hitchcock Memorial HospitalGroup PAC ID 4486561164, 1,269 clinicians

Practice addresses (Care Compare)

580 Court St
Keene, NH 03431-1718
Phone (603) 354-5454

590 Court St
Keene, NH 03431-1719
Phone (603) 354-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.26 of 100Reported as group
Quality
75.44
Promoting interoperability
100
Improvement activities
40
Cost
72.09

Merit-based Incentive Payment System (MIPS)

Final score
79.66 of 100Reported as apm
Quality
53.51
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
026.0095813VTMDRegistered Nurse
079344-23NHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Hitchcock Memorial Hospital CurrentSince Aug 2, 2022 Accepting new patients
Dartmouth-Hitchcock Clinic CurrentSince Aug 2, 2022 Accepting new patients
Cheshire Medical Center CurrentSince Aug 2, 2022 Accepting new patients
US Dept of HHS CurrentSince Mar 21, 2020 Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince Aug 9, 2025 Accepting new patients
U S Health Dept of Health & Human Services CurrentSince Mar 21, 2020 Accepting new patients
Cheshire Medical Center Current Accepting new patients
Dartmouth-Hitchcock Clinic CurrentSince Aug 2, 2022 Accepting new patients
Mary Hitchcock Memorial Hospital Current Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince Aug 9, 2025 Accepting new patients

Locations

669 Agency Main St
Harlem, MT 59526
Phone (406) 353-3100

590 Court St
Keene, NH 03431
Phone (603) 354-5454

62 Maple Ave
Keene, NH 03431
Phone (603) 308-1467

580 Court St
Keene, NH 03431
Phone (603) 354-5454

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

Organizations & group practices 11

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 6

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": "1541548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1891263877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 COLLINS LANDING RD UNIT 54",
            "city": "WEARE",
            "state": "NH",
            "postal_code": "032814022",
            "telephone_number": "603-562-5243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 COURT ST",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034311719",
            "telephone_number": "603-354-5400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "62 Collins Landing Rd Unit 54",
            "address_purpose": "LOCATION",
            "city": "Weare",
            "state": "NH",
            "postal_code": "032814022",
            "country_code": "US",
            "telephone_number": "603-562-5243",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "580 Court St",
            "address_purpose": "LOCATION",
            "city": "Keene",
            "state": "NH",
            "postal_code": "034311718",
            "country_code": "US",
            "telephone_number": "603-354-5400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GADWAH",
        "first_name": "ALEXIS",
        "middle_name": "CHAMBERLAIN",
        "name_prefix": "Ms.",
        "credential": "MSN, RN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-07",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VT",
            "license": "026.0095813",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "079344-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keene, NH

Sources for this page

Verify at the official NPI Registry.