Individual provider Active NPI

Brooke Cloutier, PA-C

  • Physician Assistant
  • Hampton, NH
National Provider Identifier
1972174092
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1997 Issued in NH
Practice address
22 Tuck Rd
Hampton, NH 03842-1225
Phone
(603) 926-4551
NPI assigned
Jul 9, 2021
Last updated
Mar 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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
Physician Assistant 363A00000X 1997 NH Primary

Addresses

Primary practice location

22 Tuck Rd
Hampton, NH 03842-1225

Mailing address

22 Tuck Rd
Hampton, NH 03842-1225
Phone (603) 926-4551

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
I20230421001683 NH Practitioner - Physician Assistant 2961807144 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alignmed Medical Group PCGroup PAC ID 3476090440, 62 clinicians

Practice addresses (Care Compare)

239 Pleasant St
Concord, NH 03301-7504
Phone (603) 224-6561

24 Old Etna Rd
Lebanon, NH 03766-1937
Phone (603) 448-2234

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1997NHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Eldercare Physician Services LLC CurrentSince Mar 10, 2023 Accepting new patients
Northeast Cardiology Associates PastSince Jul 1, 2021 Accepting new patients

Locations

239 Pleasant St
Concord, NH 03301
Phone (603) 224-6561

175 Blueberry Ln
Laconia, NH 03246
Phone (603) 524-3340

24 Old Etna Rd
Lebanon, NH 03766
Phone (603) 442-4207

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 1

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": "1625788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1972174092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 TUCK RD",
            "city": "HAMPTON",
            "state": "NH",
            "postal_code": "038421225",
            "telephone_number": "603-926-4551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 TUCK RD",
            "city": "HAMPTON",
            "state": "NH",
            "postal_code": "038421225",
            "telephone_number": "603-926-4551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOUTIER",
        "first_name": "BROOKE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-09",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NH",
            "license": "1997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, NH

Sources for this page

Verify at the official NPI Registry.