Individual provider Active NPI

Carolyn McPherson Fernandes, FNP

  • Family Nurse Practitioner
  • Manchester, NH
National Provider Identifier
1912678970
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
086621-23 Issued in NH
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220126000377 NH Practitioner - Nurse Practitioner 2769874676 Reassigns benefits to 4 organizations

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 HospitalGroup PAC ID 7416933031, shared by 5 NPIs, 67 clinicians

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

LicenseStateTypeSpecialty
11015098FLMDFamily Nurse Practitioner
086621-23NHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Medical Center CurrentSince May 1, 2024 Accepting new patients
Keady Family Practice, LLC CurrentSince Jan 1, 2022 Accepting new patients
Monadnock Community Hospital Current Accepting new patients
Monadnock Community Hospital CurrentSince Oct 1, 2025 Accepting new patients
Catholic Healthcare Trust CurrentSince May 1, 2024 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.