Individual provider Active NPI

Dorthea Peters, FNP-C

  • Family Nurse Practitioner
  • Manchester, NH
National Provider Identifier
1982021952
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
077383-23 Issued in NH
Practice address
250 Mammoth Rd
Manchester, NH 03109-4145
Phone
(603) 623-3995
NPI assigned
Mar 27, 2014
Last updated
Mar 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 077383-23 NH Primary
Family Nurse Practitioner 363LF0000X 9291236 FL

Addresses

Primary practice location

250 Mammoth Rd
Manchester, NH 03109-4145

Mailing address

250 Mammoth Rd
Manchester, NH 03109-4145
Phone (603) 623-3995

Other practice location 1

214 Daniel Webster Hwy
Nashua, NH 03060
Phone (603) 888-4354 ext. 8221

Other practice location 2

30387 US Highway 19 N
Clearwater, FL 33761-1053
Phone (727) 781-2955

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
I20180625002876 NH Practitioner - Nurse Practitioner 4688897606 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elliot Professional ServicesGroup PAC ID 6103727920, 429 clinicians

Practice addresses (Care Compare)

1 Elliot Way
Manchester, NH 03103-3502
Phone (603) 622-6484

15 Durham Rd
Suite 210
Dover, NH 03820-4380
Phone (603) 742-1444

330 Borthwick Ave
Suite 210
Portsmouth, NH 03801-7111
Phone (603) 368-9095

4 Elliot Way
Suite 200
Manchester, NH 03103-3553
Phone (603) 836-1590

One Elliot Way
100 Elliot Cardiovascular Consultants
Manchester, NH 03103-3502
Phone (603) 627-1669

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.1 of 100Reported as group
Quality
84.36
Promoting interoperability
99
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9291236FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Manchester Urology Associates Professional Association CurrentSince Aug 24, 2022 Accepting new patients
Elliot Professional Services CurrentSince Dec 15, 2025 Accepting new patients
Manchester Urology Associates Professional Association CurrentSince Aug 24, 2022 Accepting new patients
CVS Manchester NH, L.L.C. PastSince May 1, 2020 Accepting new patients

Locations

15 Durham Rd
Ste 210
Dover, NH 03820
Phone (207) 475-0100

1 Elliot Way
Manchester, NH 03103
Phone (603) 663-2271

4 Elliot Way
Ste 200
Manchester, NH 03103
Phone (603) 669-9200

330 Borthwick Ave
Ste 210
Portsmouth, NH 03801
Phone (603) 433-8733

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1395878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1982021952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 MAMMOTH RD",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031094145",
            "telephone_number": "603-623-3995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 MAMMOTH RD",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031094145",
            "telephone_number": "603-623-3995"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "214 Daniel Webster Hwy",
            "address_purpose": "LOCATION",
            "city": "Nashua",
            "state": "NH",
            "postal_code": "03060",
            "country_code": "US",
            "telephone_number": "603-888-4354 x8221",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30387 US Highway 19 N",
            "address_purpose": "LOCATION",
            "city": "Clearwater",
            "state": "FL",
            "postal_code": "337611053",
            "country_code": "US",
            "telephone_number": "727-781-2955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERS",
        "first_name": "DORTHEA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-27",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "077383-23",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9291236",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

Verify at the official NPI Registry.