Individual provider Active NPI

Haley Boles, PA-C

  • Physician Assistant
  • Portsmouth, NH
National Provider Identifier
1992000780
Registry record updated Mar 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1136 Issued in NH
Practice address
875 Greenland Rd Unit C4
Portsmouth, NH 03801-4163
Phone
(603) 431-5529
Fax
(603) 436-6603
NPI assigned
Jan 26, 2011
Last updated
Mar 15, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA4118 MA
Physician Assistant 363A00000X 2738 CT
Physician Assistant 363A00000X 1136 NH Primary

Addresses

Primary practice location

875 Greenland Rd Unit C4
Portsmouth, NH 03801-4163

Mailing address

875 Greenland Rd
Unit C4
Portsmouth, NH 03801-4163
Phone (603) 244-9720

Other names 1

  • Haley Riggs Former name

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
I20160606001293 NH Practitioner - Physician Assistant 4082870258 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Mercy College, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

67 Corporate Dr
Portsmouth, NH 03801-2847

7 Marsh Brook Dr
Somersworth, NH 03878-6523
Phone (603) 742-4222

73 Corporate Dr
Portsmouth, NH 03801-2847
Phone (603) 610-8075

789 Central Ave
Dover, NH 03820-2526

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1136NHMDAddiction (Substance Use Disorder) Counselor
PA4118MAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wentworth Douglass Physician Corporation CurrentSince Aug 11, 2020 Accepting new patients
Wentworth Douglass Hospital Current Accepting new patients
Wentworth Douglass Physician Corporation Past Accepting new patients

Locations

750 Central Ave
Ste Q
Dover, NH 03820
Phone (603) 742-6030

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

65 Route 125
Ste 206
Lee, NH 03861
Phone (603) 868-1732

67 Corporate Dr
Ste 200
Portsmouth, NH 03801
Phone (603) 431-5529

875 Greenland Rd
Unit C4
Portsmouth, NH 03801
Phone (603) 431-5529

7 Marsh Brook Dr
Ste 200
Somersworth, NH 03878
Phone (603) 742-4222

Interoperability endpoints

  • Direct secure messaging: boles.haley.wdh@direct.partners.masshiway.net

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.

Hospital & facility affiliations 2

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": "1296000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458000000000",
    "number": "1992000780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 GREENLAND RD",
            "address_2": "UNIT C4",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038014163",
            "telephone_number": "603-244-9720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 GREENLAND RD UNIT C4",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038014163",
            "telephone_number": "603-431-5529",
            "fax_number": "603-436-6603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLES",
        "first_name": "HALEY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-26",
        "last_updated": "2016-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA4118",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "2738",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NH",
            "license": "1136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HALEY",
            "last_name": "RIGGS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Portsmouth, NH

Sources for this page

Verify at the official NPI Registry.