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DR. JAN MCGONAGLE M.D.
NPI 1265450936
Pediatrics - Neurodevelopmental Disabilities in Manchester, NH

Active since July 18, 2006PECOS Enrolled
1245 ELM ST, MANCHESTER, NH 03101(603) 860-3832(833) 448-0645 Get Directions Write a Review

NPPES record last updated: November 18, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Jan Mcgonagle M.d. NPPES

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

DR. JAN MCGONAGLE M.D. (NPI 1265450936) is an individual neurodevelopmental disabilities provider in Manchester, New Hampshire, licensed in New Hampshire (9425) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265450936
Entity TypeIndividualFemale
Primary Taxonomy2080P0008X
Provider Legal NameDR. JAN MCGONAGLECredential: M.D.
Location Address1245 ELM STManchester, NH 03101-1308
Mailing Address145 Hollis StManchester, NH 03101-1235 · (603) 860-3832 · Fax (833) 448-0645
Phone(603) 860-3832
Fax(833) 448-0645
Sole ProprietorNo
Enumeration DateJuly 18, 2006
Last NPPES UpdateNovember 18, 2025
NPPES CertifiedNovember 18, 2025
✔ NPI 1265450936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Neurodevelopmental DisabilitiesAllopathic & Osteopathic Physicians
Taxonomy Code2080P0008X
License✔ Licensed in NH · 9425
Definition
A pediatrician who specializes in the treatment of individuals with developmental delays and learning disorders associated with cerebral palsy, spina bifida, autism, and other chronic neurologic conditions.
Also ListedPediatricsTaxonomy 208000000X · License 9425 (NH), 0420010669 (VT)
1245 ELM ST, Manchester, NH 03101
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Other Identifiers 2

Medicaid30008409NH
MedicaidORE3780VT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care, WellSense Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jan Mcgonagle M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jan Mcgonagle reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Amoskeag Health
Same address
Federally Qualified Health Center (FQHC)
1245 ELM ST
Manchester, NH 03101
  • Reassigned Medicare billing, New Hampshire enrollment
  • 75 clinicians in this Medicare group
NPI 1295112530 (603) 626-9500

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

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ZACHARY MARX LICSW, MLADC
Social Worker (Clinical)
1245 ELM ST
MANCHESTER, NH 03101
Hillsborough County (603) 626-9500
STEPHANIE F PRANTIS LICSW
Social Worker (Clinical)
1245 ELM ST
MANCHESTER, NH 03101
Hillsborough County (603) 668-6629
MS. LINDA HONEY WEISS MS RD LD
Dietitian, Registered (Nutrition, Pediatric)
1245 ELM ST
MANCHESTER, NH 03101
Hillsborough County (603) 668-6629
JEREMY D. OLSSON MS, FNP-C
Nurse Practitioner (Family)
1245 ELM ST
MANCHESTER, NH 03101
Hillsborough County (603) 626-9500
CATHERYN R BURCHETT MSW
Social Worker (Clinical)
1245 ELM ST
MANCHESTER, NH 03101
Hillsborough County (603) 668-6629
KAITLYN CROTEAU LICSW
Social Worker (Clinical)
1245 ELM ST
MANCHESTER, NH 03101
Hillsborough County (603) 668-6629
MS. KRISTIN EVANS LOGAN APRN
Nurse Practitioner (Pediatrics)
1245 ELM ST
MANCHESTER, NH 03101
Hillsborough County (603) 668-6629
AMOSKEAG HEALTH
Clinic/Center (Federally Qualified Health Center (FQHC))
1245 ELM ST
MANCHESTER, NH 03101
Hillsborough County (603) 626-9500

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 Jan Mcgonagle's NPI number?

The NPI number for Jan Mcgonagle is 1265450936. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is Jan Mcgonagle located?

Jan Mcgonagle practices at 1245 Elm St, Manchester, NH 03101. The listed phone number is (603) 860-3832.

What is Jan Mcgonagle's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neurodevelopmental Disabilities, with taxonomy code 2080P0008X.

Is Jan Mcgonagle enrolled in Medicare?

Yes. Jan Mcgonagle is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jan Mcgonagle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jan Mcgonagle reassigns Medicare benefits to Amoskeag Health (Manchester, NH). The 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 Jan Mcgonagle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jan Mcgonagle accept?

Health plans from Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and WellSense Health Plan list Jan Mcgonagle 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 Jan Mcgonagle was last updated on November 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.