GRANITE STATE MEN S HEALTH LLC
NPI 1891537924
Nurse Practitioner - Family in Amherst, NH

Q: What is Granite State Men S Health LLC's NPI number?

The NPI number for Granite State Men S Health LLC is 1891537924. It was assigned to this organization in the NPPES registry on June 10, 2024.

Q: What is Granite State Men S Health LLC's specialty?

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

Active since June 10, 2024

282 STATE ROUTE 101 UNIT 2, AMHERST, NH 03031(603) 693-2100(603) 679-1046 Get Directions Write a Review

NPPES record last updated: August 13, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 13, 2024, Jul 15, 2024, Jun 10, 2024 (3 updates tracked since 2024).

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About Granite State Men S Health Llc NPPES

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

GRANITE STATE MEN S HEALTH LLC (NPI 1891537924) is a healthcare organization registered as a family in Amherst, New Hampshire and active in the NPI registry since June 2024. The organization lists John Mandeville, Fnp-bc, as its authorized official.

NPPES Registry Identity

NPI1891537924

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameGRANITE STATE MEN S HEALTH LLC

Location Address282 STATE ROUTE 101 UNIT 2Amherst, NH 03031-1706

Mailing Address282 State Route 101 Unit 2Amherst, NH 03031-1706 · (603) 693-2100 · Fax (603) 679-1046

Phone(603) 693-2100

Fax(603) 679-1046

Organization SubpartNo

Authorized OfficialJohn MandevilleFnp-bc · (603) 693-2100

Enumeration DateJune 10, 2024

Last NPPES UpdateAugust 13, 20243 updates tracked since enumeration

NPPES CertifiedAugust 13, 2024

✔ NPI 1891537924 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

282 STATE ROUTE 101 UNIT 2, Amherst, NH 03031

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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 Anthem Blue Cross and Blue Shield, 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)

Granite State Men S Health 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 Granite State Men S Health LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

John Mandeville, FNP-BC

Nurse Practitioner

NPI 1538871496

282 STATE ROUTE 101 UNIT 2
Amherst, NH 03031

(603) 693-2100

✔ PECOS✔ Accepts MedicareSame address

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 Granite State Men S Health LLC's NPI number?

The NPI number for Granite State Men S Health LLC is 1891537924. It was assigned to this organization in the NPPES registry on June 10, 2024.

Where is Granite State Men S Health LLC located?

Granite State Men S Health LLC is located at 282 State Route 101 Unit 2, Amherst, NH 03031. The listed phone number is (603) 693-2100.

What is Granite State Men S Health LLC's specialty?

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

Is Granite State Men S Health LLC enrolled in Medicare?

Yes. Granite State Men S Health LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Granite State Men S Health LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Granite State Men S Health 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.

What insurance does Granite State Men S Health LLC accept?

Health plans from Anthem Blue Cross and Blue Shield and WellSense Health Plan list Granite State Men S 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 Granite State Men S Health LLC was last updated on August 13, 2024. 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.