Active NPI
Carolyn McPherson Fernandes, FNP
- Family Nurse Practitioner
- Manchester, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 086621-23
- Practice address
- 293 Wilson St Ste 102
Manchester, NH 03103-5012 - Phone
- (603) 665-7450
- Fax
- (603) 665-7450
- NPI assigned
- Sep 21, 2021
- Last updated
- Oct 12, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11015098 | FL | |
| Family Nurse Practitioner | 363LF0000X | 086621-23 | NH | Primary |
Addresses
Primary practice location
293 Wilson St Ste 102
Manchester, NH 03103-5012
Mailing address
293 Wilson St Ste 102
Manchester, NH 03103-5012
Phone (603) 665-7450
Other practice location 1
199 Manchester St
Manchester, NH 03103-5232
Phone (603) 663-8718
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cmcnh@gohnh.allscriptsdirect.net |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Monadnock Community Hospital
Practice addresses (Care Compare)
12 Elm St
Antrim Medical
Antrim, NH 03440-3916
Phone (603) 588-4200
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11015098 | FL | MD | Family Nurse Practitioner |
| 086621-23 | NH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catholic Medical Center | Current | Accepting new patients | |
| Keady Family Practice, LLC | Current | Accepting new patients | |
| Monadnock Community Hospital | Current | Accepting new patients | |
| Monadnock Community Hospital | Current | Accepting new patients | |
| Catholic Healthcare Trust | Current | Accepting new patients |
Locations
12 Elm St
Antrim, NH 03440
Phone (603) 588-4200
214 Washington St
Claremont, NH 03743
Phone (603) 826-6500
52 W Pleasant St
Claremont, NH 03743
Phone (603) 448-0126
195 McGregor St
Ste LL22
Manchester, NH 03102
199 Manchester St
Manchester, NH 03103
Phone (603) 641-9441
293 Wilson St
Ste 102
Manchester, NH 03103
Phone (603) 663-8717
452 Old Street Rd
Peterborough, NH 03458
Phone (603) 924-4699
Interoperability endpoints
- cmcnh@gohnh.allscriptsdirect.net
Organizations & group practices 5
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.
-
- Federally Qualified Health Center (FQHC)
- Manchester, NH
- NPI 1942215819
-
- Family Health Clinical Nurse Specialist
- Claremont, NH
- NPI 1033466784
-
- Critical Access Hospital
- Peterborough, NH
- NPI 1457304149
-
- Critical Access Hospital
- Peterborough, NH
- NPI 1881676104
-
dba Manchester Anesthesia Associates
- Anesthesiology Physician
- Manchester, NH
- NPI 1003692112
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Catholic Medical Center
- General Acute Care Hospital
- Manchester, NH
- NPI 1972340990
-
- Critical Access Hospital
- Peterborough, NH
- NPI 1457304149
-
- Critical Access Hospital
- Peterborough, NH
- NPI 1881676104
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697068800000",
"number": "1912678970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "293 WILSON ST STE 102",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031035012",
"telephone_number": "603-665-7450",
"fax_number": "603-665-7450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "293 WILSON ST STE 102",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031035012",
"telephone_number": "603-665-7450",
"fax_number": "603-665-7450"
}
],
"practiceLocations": [
{
"address_1": "199 Manchester St",
"address_purpose": "LOCATION",
"city": "Manchester",
"state": "NH",
"postal_code": "031035232",
"country_code": "US",
"telephone_number": "603-663-8718",
"fax_number": "603-314-4554",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FERNANDES",
"first_name": "CAROLYN",
"middle_name": "MCPHERSON",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-21",
"last_updated": "2023-10-12",
"certification_date": "2023-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11015098",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NH",
"license": "086621-23",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cmcnh@gohnh.allscriptsdirect.net",
"affiliation": "N",
"address_1": "293 Wilson St Ste 102",
"city": "Manchester",
"state": "NH",
"country_code": "US",
"postal_code": "031035012",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Manchester, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.