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STEPHANIE NICOLE CONDODEMETRAKY ARNP
NPI 1295976777
Nurse Practitioner in Manchester, NH

Active since March 13, 2009PECOS Enrolled
775 S. MAIN ST., MANCHESTER MEDICAL GROUP, MANCHESTER, NH 03102(603) 663-7300(603) 663-7333 Get Directions Write a Review

NPPES record last updated: April 9, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Stephanie Nicole Condodemetraky Arnp NPPES

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

STEPHANIE NICOLE CONDODEMETRAKY ARNP (NPI 1295976777) is an individual nurse practitioner in Manchester, New Hampshire, licensed in New Hampshire (055471-23) and active in the NPI registry since March 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295976777
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSTEPHANIE NICOLE CONDODEMETRAKYCredential: ARNP
Location Address775 S. MAIN ST., MANCHESTER MEDICAL GROUPManchester, NH 03102-5143
Mailing Address775 S. Main St., Manchester Medical GroupManchester, NH 03102-5143 · (603) 663-7300 · Fax (603) 663-7333
Phone(603) 663-7300
Fax(603) 663-7333
Sole ProprietorNo
Enumeration DateMarch 13, 2009
Last NPPES UpdateApril 9, 2021
NPPES CertifiedApril 9, 2021
✔ NPI 1295976777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NH · 055471-23
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered NurseTaxonomy 163W00000X · License 055471-21 (NH)
775 S. MAIN ST., Manchester, NH 03102
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Other Names 1

Professional Name (2)Stephanie Nicole Condodemetraky Rn

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephanie Nicole Condodemetraky Arnp 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 Stephanie Condodemetraky reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Catholic Medical Center
2.9 mi
Internal Medicine
57 WEBSTER ST
Manchester, NH 03104
  • Reassigned Medicare billing, New Hampshire enrollment
  • 53 clinicians in this Medicare group
NPI 1265487755 (603) 663-7852

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03102 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$89.14 typical visit price
range $57.75 – $174.26
Typical copayment $22.28 (range $14.43 – $43.56)
Most-billed visit code 99203
Established Patient
$101.54 typical visit price
range $18.70 – $142.15
Typical copayment $25.38 (range $4.67 – $35.53)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Stephanie Condodemetraky's NPI number?

The NPI number for Stephanie Condodemetraky is 1295976777. It was assigned to this individual provider in the NPPES registry on March 13, 2009. The provider is also known as Stephanie Nicole Condodemetraky Rn.

Where is Stephanie Condodemetraky located?

Stephanie Condodemetraky practices at 775 S. Main St. Manchester Medical Group, Manchester, NH 03102. The listed phone number is (603) 663-7300.

What is Stephanie Condodemetraky's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Stephanie Condodemetraky enrolled in Medicare?

Yes. Stephanie Condodemetraky is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Stephanie Condodemetraky's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Condodemetraky reassigns Medicare benefits to Catholic Medical Center (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 Stephanie Condodemetraky's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Stephanie Condodemetraky was last updated on April 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.