Individual provider Active NPI

Jacqueline M Peterson

  • Advanced Practice Midwife
  • Exeter, NH
National Provider Identifier
1972960110
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
072928-23 Issued in NH
Practice address
3 Alumni Dr Ste 401
Exeter, NH 03833-2123
Phone
(603) 778-0557
Fax
(603) 778-1669
NPI assigned
Jan 19, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 072928-23 NH Primary
Family Nurse Practitioner 363LF0000X 072928-23 NH

Addresses

Primary practice location

3 Alumni Dr Ste 401
Exeter, NH 03833-2123

Mailing address

4 Alumni Dr
Exeter, NH 03833-2118
Phone (603) 778-0557

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
I20161017002016 NH Practitioner - Nurse Practitioner 5092003590 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
072928-23NHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wentworth Douglass Physician Corporation CurrentSince Jan 6, 2020 Accepting new patients
Core Physicians LLC CurrentSince Sep 19, 2022 Accepting new patients
Wentworth Douglass Physician Corporation CurrentSince Jan 6, 2020 Accepting new patients
Core Physicians, LLC CurrentSince Sep 19, 2022 Accepting new patients

Locations

789 Central Ave
Dover, NH 03820
Phone (603) 740-2832

15 Old Rollinsford Rd
Ste 102
Dover, NH 03820
Phone (603) 742-7338

3 Alumni Dr
Ste 401
Exeter, NH 03833
Phone (603) 778-0557

4 Alumni Dr
Exeter, NH 03833
Phone (603) 580-7653

7 Holland Way
#1
Exeter, NH 03833

3 Alumni Dr
Ste 301
Exeter, NH 03833
Phone (603) 658-1180

5 Alumni Dr
Ste 401
Exeter, NH 03833

127 Plaistow Rd
Plaistow, NH 03865
Phone (603) 382-4972

127 Plaistow Rd
#2
Plaistow, NH 03865

121 Corporate Dr
Bldg C
Portsmouth, NH 03801
Phone (603) 740-8787

Interoperability endpoints

  • Direct secure messaging: jpeterson519810@direct.bilh.masshiway.net
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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": "1453161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760572800000",
    "number": "1972960110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 ALUMNI DR",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "038332118",
            "telephone_number": "603-778-0557",
            "fax_number": "603-778-1669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 ALUMNI DR STE 401",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "038332123",
            "telephone_number": "603-778-0557",
            "fax_number": "603-778-1669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "JACQUELINE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-19",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NH",
            "license": "072928-23",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "072928-23",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Exeter, NH

Sources for this page

Verify at the official NPI Registry.