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LIBERTY GENDRON
NPI 1487457347
Student in an Organized Health Care Education/Training Program in Lebanon, NH

Active since March 28, 2025PECOS Enrolled
1 MEDICAL DR DEPT OF, LEBANON, NH 03756(603) 650-5000 Get Directions Write a Review

NPPES record last updated: March 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Liberty Gendron NPPES

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

LIBERTY GENDRON (NPI 1487457347) is an individual student in an organized health care education/training program in Lebanon, New Hampshire and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487457347
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameLIBERTY GENDRON
Location Address1 MEDICAL DR DEPT OFLebanon, NH 03756-1000
Mailing Address1 Medical Dr Dept OfLebanon, NH 03756-1000
Phone(603) 650-5000
Sole ProprietorNo
Enumeration DateMarch 28, 2025
NPPES CertifiedMarch 28, 2025
✔ NPI 1487457347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1 MEDICAL DR DEPT OF, Lebanon, NH 03756
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Liberty Gendron 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.

Other Providers at the Same Location NPPES 20

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

RYAN JOHN HANUSEK
Student in an Organized Health Care Education/Training Program
1 MEDICAL DR DEPT OF
LEBANON, NH 03756
Grafton County (207) 604-2872
BAILEY CARTER MD
Student in an Organized Health Care Education/Training Program
1 MEDICAL DR DEPT OF
LEBANON, NH 03756
Grafton County (603) 650-5000
CHRISTOPHER CHARLES ROBERTSON
Student in an Organized Health Care Education/Training Program
1 MEDICAL DR DEPT OF
LEBANON, NH 03756
Grafton County (603) 650-6033
DR. NELSON MERCHAN MD
Student in an Organized Health Care Education/Training Program
1 MEDICAL DR DEPT OF
LEBANON, NH 03756
Grafton County (000) 000-0000
MUSTAFA MUNIR ALAM
Student in an Organized Health Care Education/Training Program
1 MEDICAL DR DEPT OF
LEBANON, NH 03756
Grafton County (603) 650-5000
NATHAN SAXBY MD
Student in an Organized Health Care Education/Training Program
1 MEDICAL DR DEPT OF
LEBANON, NH 03756
Grafton County (603) 650-5000
ADRIENNE AARDEMA WORKMAN
Student in an Organized Health Care Education/Training Program
1 MEDICAL DR DEPT OF
LEBANON, NH 03756
Grafton County (603) 650-5000
MOLLY MARTORELLA
Student in an Organized Health Care Education/Training Program
1 MEDICAL DR DEPT OF
LEBANON, NH 03756
Grafton County (603) 650-5000

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 Liberty Gendron's NPI number?

The NPI number for Liberty Gendron is 1487457347. It was assigned to this individual provider in the NPPES registry on March 28, 2025.

Where is Liberty Gendron located?

Liberty Gendron practices at 1 Medical Dr Dept Of, Lebanon, NH 03756. The listed phone number is (603) 650-5000.

What is Liberty Gendron's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Liberty Gendron enrolled in Medicare?

Yes. Liberty Gendron is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Liberty Gendron was last updated on March 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.