PALLIATIVITY MEDICAL GROUP LLC
NPI 1669878179
Nurse Practitioner in Bedford, NH

Active since November 10, 2014
116 S RIVER RD, UNIT D2, BEDFORD, NH 03110(603) 785-8406 Get Directions Write a Review

NPPES record last updated: November 10, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Palliativity Medical Group Llc NPPES

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

PALLIATIVITY MEDICAL GROUP LLC (NPI 1669878179) is a healthcare organization registered as a nurse practitioner in Bedford, New Hampshire and active in the NPI registry since November 2014. The organization lists Lisa Withrow, Owner, as its authorized official.

NPPES Registry Identity

NPI1669878179
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NamePALLIATIVITY MEDICAL GROUP LLC
Location Address116 S RIVER RD, UNIT D2Bedford, NH 03110-6734
Mailing Address304 Westwood DrManchester, NH 03103-6122 · (603) 785-8406
Organization SubpartNo
Authorized OfficialLisa WithrowOwner · (603) 785-8406
Enumeration DateNovember 10, 2014
✔ NPI 1669878179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
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.
116 S RIVER RD, Bedford, NH 03110

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Palliativity Medical Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Palliativity Medical Group LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1144453135
116 S RIVER RD UNIT D-2
Bedford, NH 03110
(603) 371-9402
✔ PECOS✔ Accepts Medicare0.1 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 Palliativity Medical Group LLC's NPI number?

The NPI number for Palliativity Medical Group LLC is 1669878179. It was assigned to this organization in the NPPES registry on November 10, 2014.

Where is Palliativity Medical Group LLC located?

Palliativity Medical Group LLC is located at 116 S River Rd Unit D2, Bedford, NH 03110. The listed phone number is (603) 785-8406.

What is Palliativity Medical Group LLC's specialty?

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

Is Palliativity Medical Group LLC enrolled in Medicare?

Yes. Palliativity Medical Group LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Palliativity Medical Group LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Palliativity Medical Group LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Palliativity Medical Group LLC was last updated on November 10, 2014. 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.