CRANMORE HEALTH PARTNERS, LLC
NPI 1194364083
Clinic/Center - Multi-Specialty in Glen, NH

Active since December 26, 2019CLIA 30D2183670 · Waiver
15 US RTE 302, UNIT 1, GLEN, NH 03838(603) 730-5356 Get Directions Write a Review

NPPES record last updated: April 8, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 8, 2025, Jun 3, 2020, Dec 26, 2019 (3 updates tracked since 2019).

About Cranmore Health Partners, Llc NPPES

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

CRANMORE HEALTH PARTNERS, LLC (NPI 1194364083) is a healthcare organization registered as a multi-specialty in Glen, New Hampshire and active in the NPI registry since December 2019. The organization holds a CLIA Waiver certificate valid through May 7, 2028 and lists Kelly C Defeo, Partner, as its authorized official.

NPPES Registry Identity

NPI1194364083
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameCRANMORE HEALTH PARTNERS, LLC
Location Address15 US RTE 302, UNIT 1Glen, NH 03838-6300
Mailing AddressPo Box 125Center Conway, NH 03813-0125 · (603) 387-4523 · Fax (603) 369-4658
Organization SubpartNo
Authorized OfficialKelly C DefeoPartner · (603) 387-4523
Enumeration DateDecember 26, 2019
Last NPPES UpdateApril 8, 20253 updates tracked since enumeration
NPPES CertifiedApril 1, 2025
✔ NPI 1194364083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedFamily MedicineTaxonomy 207Q00000X
15 US RTE 302, Glen, NH 03838

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cranmore Health Partners, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Cranmore Health Partners, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Nurse Practitioner
NPI 1699757906
15 US RTE 302
Glen, NH 03838
(603) 730-5356
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1902436579
15 US ROUTE 2
Glen, NH 03838
(603) 730-5356
✔ PECOS✔ Accepts Medicare0.1 mi
Registered Dietitian or Nutrition Professional
NPI 1801464342
1857 WHITE MOUNTAIN HWY
North Conway, NH 03860
(603) 730-5356
✔ Accepts Medicare6.3 mi
Podiatry
NPI 1124473608
81 MAIN ST APT 1
Gorham, NH 03581
(603) 730-7309
✔ PECOS✔ Accepts Medicare19 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1902855224
600 SAINT JOHNSBURY RD
Littleton, NH 03561
(603) 444-9000
✔ PECOS✔ Accepts Medicare35 mi
Physical Therapist in Private Practice
NPI 1558976381
181 CORLISS LN
Colebrook, NH 03576
(603) 388-4206
✔ Accepts Medicare57 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1609283118
489 STATE ST
Bangor, ME 04401
(207) 992-4032
✔ PECOS✔ Accepts Medicare130 mi
Internal Medicine
NPI 1255546941
13940 N US HIGHWAY 441 STE 102
Lady Lake, FL 32159
(352) 751-9900
✔ PECOS✔ Accepts Medicare1,202 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 30D2183670

Cranmore Health Partners · Glen, NH
Active · expires May 7, 2028
CLIA Number30D2183670
Laboratory TypeIndependent
Certificate Effective DateMay 8, 2026
Certificate Expiration DateMay 7, 2028
Laboratory DirectorKelly Defeo
Laboratory Phone(603) 730-5356
Laboratory LocationCranmore Health Partners15 Rt 302, Ste 1, Glen, NH 03838
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Cranmore Health Partners, LLC's NPI number?

The NPI number for Cranmore Health Partners, LLC is 1194364083. It was assigned to this organization in the NPPES registry on December 26, 2019.

Where is Cranmore Health Partners, LLC located?

Cranmore Health Partners, LLC is located at 15 Us Rte 302 Unit 1, Glen, NH 03838. The listed phone number is (603) 730-5356.

What is Cranmore Health Partners, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is Cranmore Health Partners, LLC enrolled in Medicare?

Yes. Cranmore Health Partners, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Cranmore Health Partners, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians reassign their Medicare billing to Cranmore Health Partners, LLC, in Certified Registered Nurse Anesthetist (CRNA), Internal Medicine, Nurse Practitioner, Physical Therapist in Private Practice, Podiatry and 1 other specialty. 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. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Cranmore Health Partners, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 30D2183670) is associated with this NPI, valid through May 7, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Cranmore Health Partners, LLC accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Shield and WellSense Health Plan list Cranmore Health Partners, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cranmore Health Partners, LLC was last updated on April 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.