MRS. DENISE M PRISBY ARNP
NPI 1497125389
Nurse Practitioner - Family in Portsmouth, NH

Active since October 05, 2015PECOS EnrolledAccepts Medicare Assignment
90.07/100
CMS Quality Rating
875 GREENLAND RD, BUILDING C-UNIT 10, PORTSMOUTH, NH 03801(603) 436-3433 Get Directions Write a Review

NPPES record last updated: October 5, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Denise M Prisby Arnp NPPES

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

MRS. DENISE M PRISBY ARNP (NPI 1497125389) is an individual family provider in Portsmouth, New Hampshire, licensed in New Hampshire (049775-23) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS, is affiliated with York Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1497125389
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. DENISE M PRISBYCredential: ARNP
Location Address875 GREENLAND RD, BUILDING C-UNIT 10Portsmouth, NH 03801-4164
Mailing Address875 Greenland Rd, Building C-unit 10Portsmouth, NH 03801-4164
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateOctober 5, 2015
✔ NPI 1497125389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NH · 049775-23
875 GREENLAND RD, Portsmouth, NH 03801

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Denise M Prisby Arnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5395099436
PECOS Enrollment IDI20181108001637
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 Reassignments

2

Medicare enrollment records show Denise Prisby reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nephrology
875 GREENLAND RD, BUILDING C-UNIT 10
Portsmouth, NH 03801
  • Reassigned Medicare billing, New Hampshire enrollment
  • 7 clinicians in this Medicare group
Hospitalist
1 PARKLAND DR
Derry, NH 03038
  • Reassigned Medicare billing, New Hampshire enrollment
  • 150 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
131 services63 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
22 services22 patients
Transitional care management services for problem of high complexity 99496
Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.
22 services20 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

York Hospital

Acute Care Hospitals · York, ME
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200020
Location15 Hospital DriveYork, ME 03909 · York County
Emergency services Birthing friendly

Frisbie Memorial Hospital

Acute Care Hospitals · Rochester, NH
2/5 CMS rating
OwnershipProprietary
CMS Certification Number300014
Location11 Whitehall RoadRochester, NH 03867 · Strafford County
Emergency services

Wentworth-Douglass Hospital

Acute Care Hospitals · Dover, NH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300018
Location789 Central AveDover, NH 03820 · Strafford County
Emergency services Birthing friendly

Portsmouth Regional Hospital

Acute Care Hospitals · Portsmouth, NH
3/5 CMS rating
OwnershipProprietary
CMS Certification Number300029
Location333 Borthwick AvePortsmouth, NH 03801 · Rockingham County
Emergency services Birthing friendly

Huggins Hospital

Critical Access Hospitals · Wolfeboro, NH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number301312
Location240 South Main StreetWolfeboro, NH 03894 · Carroll County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03801 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.07/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.34
Promoting Interoperability96
Improvement Activities40
Cost74.25

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.

Counselor (Mental Health)
875 GREENLAND RD
PORTSMOUTH, NH 03801
Physician Assistant
875 GREENLAND RD, BLG C-4
PORTSMOUTH, NH 03801
Internal Medicine (Nephrology)
875 GREENLAND RD, #C-10
PORTSMOUTH, NH 03801
Internal Medicine (Nephrology)
875 GREENLAND RD, #C-10
PORTSMOUTH, NH 03801
Psychiatry & Neurology (Neurology)
875 GREENLAND RD, SUITE B4
PORTSMOUTH, NH 03801
Urology
875 GREENLAND RD, ORCHARD PARK, BLDG C, SUITE 3
PORTSMOUTH, NH 03801
Obstetrics & Gynecology
875 GREENLAND RD, ORCHARD PARK, SUITE B11
PORTSMOUTH, NH 03801
Obstetrics & Gynecology
875 GREENLAND RD, BUILDING A-1
PORTSMOUTH, NH 03801

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 Denise Prisby's NPI number?

The NPI number for Denise Prisby is 1497125389. It was assigned to this individual provider in the NPPES registry on October 5, 2015.

Where is Denise Prisby located?

Denise Prisby practices at 875 Greenland Rd Building C-Unit 10, Portsmouth, NH 03801. The listed phone number is (603) 436-3433.

What is Denise Prisby's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Denise Prisby enrolled in Medicare?

Yes. Denise Prisby is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Denise Prisby's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Denise Prisby reassigns Medicare benefits to 2 organizations: Seacoast Kidney & Hypertension Specialists, P.L.L.C. (Portsmouth, NH) and Hospital Medicine Services Of Nh, LLC (Derry, NH). Each 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 Denise Prisby's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Denise Prisby accept?

Health plans from Anthem Blue Cross and Blue Shield and WellSense Health Plan list Denise Prisby 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.

Is Denise Prisby affiliated with any hospitals?

According to CMS data, Denise Prisby is affiliated with York Hospital, Frisbie Memorial Hospital, Wentworth-Douglass Hospital, Portsmouth Regional Hospital and Huggins Hospital.

When was this NPI record last updated?

The NPPES record for Denise Prisby was last updated on October 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.