Individual provider Active NPI

Kristen Greenhalgh

  • Family Nurse Practitioner
  • Salem, NH
National Provider Identifier
1992236582
Registry record updated Jul 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
064547-23 Issued in NH
Practice address
512 S Broadway
Salem, NH 03079-4306
Phone
(866) 389-2727
NPI assigned
Mar 24, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2021

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 RN2281748 MA
Family Nurse Practitioner 363LF0000X 064547-23 NH Primary

Addresses

Primary practice location

512 S Broadway
Salem, NH 03079-4306

Mailing address

512 S Broadway
Salem, NH 03079-4306

Other practice location 1

300 Canal St
Salem, MA 01970-4558
Phone (978) 740-2912

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
I20180404001114 NH Practitioner - Nurse Practitioner 8022385749 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mass General Brigham Medical Group, Inc.Group PAC ID 3971987108, 140 clinicians

Practice addresses (Care Compare)

30 Tuscan Blvd
Salem, NH 03079-3981
Phone (857) 282-8100

Hospital & facility affiliations

  • Wentworth-Douglass Hospital Hospital, Dover, NH, CCN 300018
  • Brigham and Women'S Hospital Hospital, Boston, MA, CCN 220110
  • Northeast Rehabilitation Hospital Inpatient rehabilitation facility, Salem, NH, CCN 303026

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mass General Brigham Medical Group, Inc. CurrentSince Jul 14, 2025 Accepting new patients
Expressmed, LLC CurrentSince Nov 24, 2024 Accepting new patients
Express Med at Salem, LLC CurrentSince Oct 12, 2024 Accepting new patients
Expressmed, LLC CurrentSince Nov 24, 2024 Accepting new patients

Locations

35 Kosciuszko St
Manchester, NH 03101
Phone (603) 627-8053

1 Highlander Way
Ste 2
Manchester, NH 03103
Phone (603) 625-2622

55 Bridge St
Manchester, NH 03101

30 Tuscan Blvd
Salem, NH 03079
Phone (857) 282-8100

30 Tuscan Blvd
#3
Salem, NH 03079

159 N Broadway
Salem, NH 03079
Phone (603) 893-4119

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: kristen.greenhalgh@4199.securemail.prognocis.com
  • Direct secure messaging: greenhalgh.kristen.mgbicare@direct.partners.masshiway.net

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.

Hospital & facility affiliations 4

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": "1490313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627171200000",
    "number": "1992236582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 S BROADWAY",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030794306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 S BROADWAY",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030794306",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Canal St",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "MA",
            "postal_code": "019704558",
            "country_code": "US",
            "telephone_number": "978-740-2912",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREENHALGH",
        "first_name": "KRISTEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-24",
        "last_updated": "2021-07-25",
        "certification_date": "2021-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2281748",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "064547-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, NH

Sources for this page

Verify at the official NPI Registry.