Organization Active NPI

Nextgen Diabetes Care LLC

  • Nurse Practitioner
  • Candia, NH
National Provider Identifier
1902622103
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
NEXTGEN DIABETES CARE LLC
Practice address
510 Old Candia Rd
Candia, NH 03034-2400
Phone
(603) 691-3771
Fax
(833) 438-1685
NPI assigned
Dec 3, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Authorized official

Name
Brett Roberts, APRNNPI 1740970300
Title
Nurse Practitioner
Phone
(603) 991-8917

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

510 Old Candia Rd
Candia, NH 03034-2400

Mailing address

510 Old Candia Rd
Candia, NH 03034-2400
Phone (603) 691-3771

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250102001655 NH Part B Supplier - Clinic/Group Practice 8022545045 Receives reassigned benefits from 1 practitioner
Practice locations: Candia, NH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
30D2332848Nextgen Diabetes Care LLC510 Old Candia Rd, Candia, NH 03034Certificate of waiverOct 26, 2027

National Provider Directory

National Provider Directory

Locations

185 Plaistow Rd
Ste 2
Plaistow, NH 03865
Phone (603) 691-3771

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1733184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760400000000",
    "number": "1902622103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 OLD CANDIA RD",
            "city": "CANDIA",
            "state": "NH",
            "postal_code": "030342400",
            "telephone_number": "603-691-3771",
            "fax_number": "833-438-1685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 OLD CANDIA RD",
            "city": "CANDIA",
            "state": "NH",
            "postal_code": "030342400",
            "telephone_number": "603-691-3771",
            "fax_number": "833-438-1685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEXTGEN DIABETES CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-03",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "BRETT",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "603-991-8917",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Candia, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.