Individual provider Active NPI

Katelyn Rose Monroe, PA-C

  • Physician Assistant
  • Bedford, NH
National Provider Identifier
1922557859
Registry record updated Oct 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
EL10478 Issued in NH
Practice address
5 Washington PL
Bedford, NH 03110-6736
Phone
(603) 695-2500
NPI assigned
Oct 4, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA5924 MA
Physician Assistant 363A00000X EL10478 NH Primary

Addresses

Primary practice location

5 Washington PL
Bedford, NH 03110-6736

Mailing address

7 Cochran Farm Rd
Windham, NH 03087-1679
Phone (603) 770-3181

Other practice location 1

20 Patriot Pl
Foxborough, MA 02035-1375
Phone (508) 718-4000

Other practice location 2

1337 Hyde Park Ave
Hyde Park, MA 02136-2713
Phone (617) 364-9880

Other names 1

  • Katelyn Rose Thompson Former name

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
I20221110000733 NH Practitioner - Physician Assistant 5890076780 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mary Hitchcock Memorial HospitalGroup PAC ID 4486561164, 1,269 clinicians
Amoskeag HealthGroup PAC ID 8527038421, 30 clinicians

Practice addresses (Care Compare)

1 Medical Ctr Dr
Lebanon, NH 03756-1000
Phone (603) 650-5000

184 Tarrytown Rd
Manchester, NH 03103-2713
Phone (603) 626-9500

25 S River Rd
Bedford, NH 03110-6708
Phone (603) 695-2500

5 Washington PL
Bedford, NH 03110-6736
Phone (603) 695-2500

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
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1936NHMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Hitchcock Memorial Hospital CurrentSince Jun 1, 2023 Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince Jun 1, 2023 Accepting new patients
Dartmouth-Hitchcock Clinic CurrentSince Oct 31, 2022 Accepting new patients
Dartmouth-Hitchcock Clinic CurrentSince Oct 31, 2022 Accepting new patients
Amoskeag Health Past Accepting new patients

Locations

25 S River Rd
Bedford, NH 03110
Phone (603) 626-4392

5 Washington Pl
Bedford, NH 03110
Phone (603) 314-4567

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

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/28516/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kmonroe495158@direct.dartmouth-hitchcock.org
  • Direct secure messaging: katelyn.monroe.1@28516.direct.athenahealth.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1475539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1922557859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 COCHRAN FARM RD",
            "city": "WINDHAM",
            "state": "NH",
            "postal_code": "030871679",
            "telephone_number": "603-770-3181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 WASHINGTON PL",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106736",
            "telephone_number": "603-695-2500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 Patriot Pl",
            "address_purpose": "LOCATION",
            "city": "Foxborough",
            "state": "MA",
            "postal_code": "020351375",
            "country_code": "US",
            "telephone_number": "508-718-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1337 Hyde Park Ave",
            "address_purpose": "LOCATION",
            "city": "Hyde Park",
            "state": "MA",
            "postal_code": "021362713",
            "country_code": "US",
            "telephone_number": "617-364-9880",
            "fax_number": "617-361-3663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONROE",
        "first_name": "KATELYN",
        "middle_name": "ROSE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-04",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA5924",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NH",
            "license": "EL10478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATELYN",
            "last_name": "THOMPSON",
            "middle_name": "ROSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bedford, NH

Sources for this page

Verify at the official NPI Registry.