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PREMIER HEALTH LLC
NPI 1760969679
Psychiatry & Neurology - Psychiatry in Plymouth, NH

Active since July 24, 2018
13 TOWN WEST RD STE B-3, PLYMOUTH, NH 03264(603) 945-8048(603) 945-7110 Get Directions Write a Review

NPPES record last updated: November 14, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 14, 2023, Jan 14, 2021, Jul 24, 2018 (3 updates tracked since 2018).

About Premier Health Llc NPPES

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

PREMIER HEALTH LLC (NPI 1760969679) is a healthcare organization registered as a psychiatry in Plymouth, New Hampshire and active in the NPI registry since July 2018. The organization lists Mariya Kogan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1760969679
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NamePREMIER HEALTH LLC
Location Address13 TOWN WEST RD STE B-3Plymouth, NH 03264-3428
Mailing Address461 Main St Ste 6cFranconia, NH 03580-4835
Phone(603) 945-8048
Fax(603) 945-7110
Organization SubpartNo
Authorized OfficialMariya KoganCeo · (917) 566-5997
Enumeration DateJuly 24, 2018
Last NPPES UpdateNovember 14, 20233 updates tracked since enumeration
NPPES CertifiedNovember 14, 2023
✔ NPI 1760969679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedNurse Anesthetist, Certified RegisteredTaxonomy 367500000X
13 TOWN WEST RD STE B-3, Plymouth, NH 03264
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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)

Premier Health Llc 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 Premier Health LLC, 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)

Wendy Bayless, APRN
Nurse Practitioner
NPI 1700514395
13 TOWN WEST RD STE B-3
Plymouth, NH 03264
(603) 945-8048
✔ PECOS✔ Accepts MedicareSame address
Richard Nasstrom, D.O.
Psychiatry
NPI 1144665712
1 WARREN ST
Plymouth, NH 03264
(603) 945-8048
✔ PECOS✔ Accepts Medicare2.3 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 Premier Health LLC's NPI number?

The NPI number for Premier Health LLC is 1760969679. It was assigned to this organization in the NPPES registry on July 24, 2018.

Where is Premier Health LLC located?

Premier Health LLC is located at 13 Town West Rd Ste B-3, Plymouth, NH 03264. The listed phone number is (603) 945-8048.

What is Premier Health LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Premier Health LLC enrolled in Medicare?

Yes. Premier Health LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Premier Health LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Premier Health LLC, in Nurse Practitioner and Psychiatry. 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 Premier Health LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Premier Health LLC 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 Premier Health LLC was last updated on November 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.