Mary Peterson, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

0390 Issued in NH

Practice address

460 Amherst St
Nashua, NH 03063-1220

Phone

(603) 883-7970

Fax

(603) 595-3652

NPI assigned

Dec 19, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Physician Assistant

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St. Joseph Hospital of Nashua NHGroup PAC ID 2062455611, 271 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Pathways Healthcare LLC Home health agency, Londonderry, NH, CCN 307095
• Amedisys Home Health Home health agency, Portsmouth, NH, CCN 307006
• Home Health & Hospice Care Home health agency, Merrimack, NH, CCN 307017
• St Joseph Hospital Hospital, Nashua, NH, CCN 300011
• Southern NH Medical Center Hospital, Nashua, NH, CCN 300020

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mpeterson1154647@direct.bsmhealth.org

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.

• St Joseph Hospital of Nashua NH

  • General Acute Care Hospital
  • Nashua, NH
  • NPI 1093787384
  Medicare reassignment Care Compare group NPD
• St Joseph Hospital of Nashua NH

  • Urgent Care Clinic/Center
  • Milford, NH
  • NPI 1437758679
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Southern NH Medical Center

  • General Acute Care Hospital
  • Nashua, NH
  • NPI 1245447994
  Care Compare affiliation Name & address match
• Amedisys New Hampshire, L.L.C.

  • Home Health Agency
  • Portsmouth, NH
  • NPI 1326230251
  Care Compare affiliation
• Home Health & Hospice Care

  • Home Health Agency
  • Merrimack, NH
  • NPI 1437151651
  Care Compare affiliation
• Pathways Healthcare, LLC

  • Home Health Agency
  • Londonderry, NH
  • NPI 1275014235
  Care Compare affiliation
• St Joseph Hospital of Nashua NH

  • General Acute Care Hospital
  • Nashua, NH
  • NPI 1093787384
  Care Compare affiliation
• St Joseph Hospital of Nashua NH

  • Urgent Care Clinic/Center
  • Milford, NH
  • NPI 1437758679

  Hospital

  Care Compare affiliation
• Pathways Healthcare, LLC

  • Home Health Agency
  • Westwood, MA
  • NPI 1740529668
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571702400000",
    "number": "1992781231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 808",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030610808",
            "fax_number": "603-595-2997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 AMHERST ST",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030631220",
            "telephone_number": "603-883-7970",
            "fax_number": "603-595-3652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-19",
        "last_updated": "2019-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NH",
            "license": "0390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3073371",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine Peters, MSW
• Lori A Petersen, NP
• Christina Peterson, BSW
• James M Peterson, MD
• Linda Peterson, PT
• Randy Peterson, BA
• Richanne Petrigno, MA
• Katherine Collins Pettengill, GNP-BC
• Madelyne Pettengill
• Bettina Peyton, M.D.

• Medical Physician Assistant in Nashua, NH
• Providers in Nashua, NH by specialty
• Medical Physician Assistant in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.