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PEMBROKE WELLNESS CENTER PLLC
NPI 1396276655
Family Medicine in Pembroke, NH

Active since March 27, 2017
48 GLASS ST, PEMBROKE, NH 03275(603) 485-7788(603) 485-7799 Get Directions Write a Review

NPPES record last updated: December 19, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 19, 2022, Mar 8, 2019, Dec 27, 2017 and 1 more (4 updates tracked since 2017).

About Pembroke Wellness Center Pllc NPPES

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

PEMBROKE WELLNESS CENTER PLLC (NPI 1396276655) is a healthcare organization registered as a family medicine in Pembroke, New Hampshire and active in the NPI registry since March 2017. The organization lists Debborah Kaitz Kaitz, Rn Office Manager, as its authorized official.

NPPES Registry Identity

NPI1396276655
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePEMBROKE WELLNESS CENTER PLLC
Location Address48 GLASS STPembroke, NH 03275-1506
Mailing Address48 Glass StPembroke, NH 03275-1506 · (603) 485-7788 · Fax (603) 485-7799
Phone(603) 485-7788
Fax(603) 485-7799
Organization SubpartNo
Authorized OfficialDebborah Kaitz KaitzRn Office Manager · (603) 485-7788
Enumeration DateMarch 27, 2017
Last NPPES UpdateDecember 19, 20224 updates tracked since enumeration
NPPES CertifiedDecember 19, 2022
✔ NPI 1396276655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
48 GLASS ST, Pembroke, NH 03275
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, WellSense Health Plan.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)

Pembroke Wellness Center Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Pembroke Wellness Center PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Mary Bacon, ARNP
Nurse Practitioner
NPI 1245399930
48 GLASS ST
Pembroke, NH 03275
(603) 485-7788
✔ PECOS✔ Accepts MedicareSame address
Jennifer Mackenzie, MD
Family Practice
NPI 1598259947
280 PLEASANT ST
Concord, NH 03301
(603) 226-3400
✔ PECOS✔ Accepts Medicare7.5 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 Pembroke Wellness Center PLLC's NPI number?

The NPI number for Pembroke Wellness Center PLLC is 1396276655. It was assigned to this organization in the NPPES registry on March 27, 2017.

Where is Pembroke Wellness Center PLLC located?

Pembroke Wellness Center PLLC is located at 48 Glass St, Pembroke, NH 03275. The listed phone number is (603) 485-7788.

What is Pembroke Wellness Center PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Pembroke Wellness Center PLLC enrolled in Medicare?

Yes. Pembroke Wellness Center PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pembroke Wellness Center PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Pembroke Wellness Center PLLC, in Family Practice and Nurse Practitioner. 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 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Pembroke Wellness Center PLLC accept?

Health plans from Ambetter from NH Healthy Families and WellSense Health Plan list Pembroke Wellness Center PLLC 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 Pembroke Wellness Center PLLC was last updated on December 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.