Individual provider Active NPI

Tracy Elizabeth Meattey, PA

  • Medical Physician Assistant
  • Portsmouth, NH
National Provider Identifier
1942372206
Registry record updated Jan 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0729 Issued in NH
Practice address
25 New Hampshire Ave
Suite 100
Portsmouth, NH 03801-2838
Phone
(603) 431-2516
Fax
(603) 431-9945
NPI assigned
Nov 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 0729 NH Primary

Addresses

Primary practice location

25 New Hampshire Ave
Suite 100
Portsmouth, NH 03801-2838

Mailing address

25 New Hampshire Ave
Suite 100
Portsmouth, NH 03801-2838
Phone (603) 431-2516

Other identifiers 1

IdentifierTypeStateIssuer
3081273MedicaidNH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address TRACY.MEATTEY@hca6.eclinicaldirectplus.com

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
I20090922000716 NH Practitioner - Physician Assistant 8820098973 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0729NHMDOccupational Therapy Assistant
00428RIMDPhysical Therapist

Interoperability endpoints

  • Direct secure messaging: tracy.meattey@hca6.eclinicaldirectplus.com

Organizations & group practices 1

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": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642723200000",
    "number": "1942372206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 NEW HAMPSHIRE AVE",
            "address_2": "SUITE 100",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038012838",
            "telephone_number": "603-431-2516",
            "fax_number": "603-431-9945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 NEW HAMPSHIRE AVE",
            "address_2": "SUITE 100",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038012838",
            "telephone_number": "603-431-2516",
            "fax_number": "603-431-9945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEATTEY",
        "first_name": "TRACY",
        "middle_name": "ELIZABETH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2022-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NH",
            "license": "0729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3081273",
            "state": "NH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "TRACY.MEATTEY@hca6.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "25 New Hampshire Ave",
            "address_2": "SUITE 100",
            "city": "Portsmouth",
            "state": "NH",
            "country_code": "US",
            "postal_code": "038012838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Portsmouth, NH

Sources for this page

Verify at the official NPI Registry.