Individual provider Active NPI

Heather I. L. Shafer, M.D.

  • Family Medicine Physician
  • Milford, NH
National Provider Identifier
1972581635
Registry record updated Jan 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
13329 Issued in NH
Practice address
10 Jones Rd
Milford, NH 03055
Phone
(603) 672-7600
Fax
(603) 672-6274
NPI assigned
Jan 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X 13329 NH
Family Medicine Physician 207Q00000X 13329 NH Primary

Addresses

Primary practice location

10 Jones Rd
Milford, NH 03055

Mailing address

PO Box 3677
Nashua, NH 03061-3677
Phone (603) 577-7900

Other practice location 1

590 Court St
Keene, NH 03431-1719
Phone (603) 354-5454

Other identifiers 2

IdentifierTypeStateIssuer
3074468MedicaidNH
914646600MedicaidMN

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080729000063 NH Practitioner - Family PracticePractitioner - Sports Medicine 2062489883 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
Loma Linda University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foundation Medical Partners IncGroup PAC ID 9436140456, 313 clinicians

Practice addresses (Care Compare)

10 Jones Rd
Milford, NH 03055-3100
Phone (603) 672-7600

Hospital & facility affiliations

  • Amedisys Home Health Home health agency, Portsmouth, NH, CCN 307006
  • Home Health & Hospice Care Home health agency, Merrimack, NH, CCN 307017
  • Southern NH Medical Center Hospital, Nashua, NH, CCN 300020
  • St Joseph Hospital Hospital, Nashua, NH, CCN 300011

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions14
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Foundation Medical Partners Inc Family Medicine CurrentSince Nov 1, 2018 Accepting new patients
Foundation Medical Partners Inc. CurrentSince Nov 1, 2018 Accepting new patients

Locations

10 Jones Rd
Milford, NH 03055
Phone (603) 672-7600

22 Cotton Rd
Nashua, NH 03063
Phone (603) 899-6147

Interoperability endpoints

  • Direct secure messaging: hshafer91924@direct.solutionhealth.org

Organizations & group practices 2

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.

Hospital & facility affiliations 5

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": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547683200000",
    "number": "1972581635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3677",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030613677",
            "telephone_number": "603-577-7900",
            "fax_number": "603-577-7972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 JONES RD",
            "city": "MILFORD",
            "state": "NH",
            "postal_code": "03055",
            "telephone_number": "603-672-7600",
            "fax_number": "603-672-6274"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "590 Court St",
            "address_purpose": "LOCATION",
            "city": "Keene",
            "state": "NH",
            "postal_code": "034311719",
            "country_code": "US",
            "telephone_number": "603-354-5454",
            "fax_number": "603-354-5483",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAFER",
        "first_name": "HEATHER",
        "middle_name": "I. L.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-04",
        "last_updated": "2019-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NH",
            "license": "13329",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "13329",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3074468",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "914646600",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, NH

Sources for this page

Verify at the official NPI Registry.