AWAKEN
NPI 1083331292
Nurse Practitioner - Family in Londonderry, NH

Active since October 27, 2022
75 GILCREAST RD UNIT 303, LONDONDERRY, NH 03053(603) 404-8705 Get Directions Write a Review

NPPES record last updated: December 15, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 15, 2023, Jan 18, 2023, Oct 27, 2022 (3 updates tracked since 2022).

About Awaken NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AWAKEN (NPI 1083331292) is a healthcare organization registered as a family in Londonderry, New Hampshire and active in the NPI registry since October 2022. The organization lists Robin M Mckinley, Owner, as its authorized official.

NPPES Registry Identity

NPI1083331292
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameAWAKEN
Location Address75 GILCREAST RD UNIT 303Londonderry, NH 03053-3567
Mailing Address75 Gilcreast Rd Unit 303Londonderry, NH 03053-3567 · (603) 404-8705
Organization SubpartNo
Authorized OfficialRobin M MckinleyOwner · (603) 404-8705
Enumeration DateOctober 27, 2022
Last NPPES UpdateDecember 15, 20233 updates tracked since enumeration
NPPES CertifiedDecember 15, 2023
✔ NPI 1083331292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
75 GILCREAST RD UNIT 303, Londonderry, NH 03053

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Awaken is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Awaken, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1285971705
47 HIGH ST STE 101
North Andover, MA 01845
(978) 685-2460
✔ PECOS✔ Accepts Medicare16 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Awaken's NPI number?

The NPI number for Awaken is 1083331292. It was assigned to this organization in the NPPES registry on October 27, 2022.

Where is Awaken located?

Awaken is located at 75 Gilcreast Rd Unit 303, Londonderry, NH 03053. The listed phone number is (603) 404-8705.

What is Awaken's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Awaken enrolled in Medicare?

Yes. Awaken is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Awaken?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Awaken. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Awaken was last updated on December 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.