Individual provider Active NPI

Alicia Musto, APRN

  • Nurse Practitioner
  • Manchester, NH
National Provider Identifier
1962982587
Registry record updated Aug 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
056829-23 Issued in NH
Practice address
100 McGregor St
Manchester, NH 03102-3770
Phone
(603) 668-3545
NPI assigned
Aug 14, 2018
Last updated
Aug 14, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 056829-23 NH Primary

Addresses

Primary practice location

100 McGregor St
Manchester, NH 03102-3770

Mailing address

5 Berlang Rd
Londonderry, NH 03053-6130
Phone (603) 289-1506

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20181105000236 NH Practitioner - Nurse Practitioner 0042563348 Reassigns benefits to 1 organization
I20240521002302 MA Practitioner - Nurse Practitioner 0042563348 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
056829-23NHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Medical Center CurrentSince Oct 9, 2018 Accepting new patients
Catholic Medical Center CurrentSince Oct 9, 2018 Accepting new patients
Hallmark Health Medical Associates Inc CurrentSince Apr 6, 2024 Accepting new patients

Locations

50 Rowe St
Ste 400
Melrose, MA 02176
Phone (781) 665-6605

425 Revere St
Revere, MA 02151
Phone (781) 286-1313

1 Parkland Dr
Derry, NH 03038
Phone (603) 421-2220

100 McGregor St
Manchester, NH 03102
Phone (603) 663-6931

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1534204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534204800000",
    "number": "1962982587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 BERLANG RD",
            "city": "LONDONDERRY",
            "state": "NH",
            "postal_code": "030536130",
            "telephone_number": "603-289-1506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MCGREGOR ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031023770",
            "telephone_number": "603-668-3545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSTO",
        "first_name": "ALICIA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-14",
        "last_updated": "2018-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NH",
            "license": "056829-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

Verify at the official NPI Registry.