Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Justin Smith, AGACNP-BC

Individual provider Acute Care Nurse Practitioner · NPI 1275041642

Mr. Justin Smith, AGACNP-BC is a Nurse Practitioner in Manchester, New Hampshire. Graduated from University of South Alabama College of Medicine in 2017, 9 years ago. Practices with Elliot Professional Services, a 424-clinician group and accepts Medicare assignment. Licensed in New Hampshire.

Years since qualifying
9
Trained at
University of South Alabama College of Medicine
Licensed in
NH
In the registry since
2018
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Practice location Address checks out

4 Elliot Way Ste 200
Manchester, NH 03103-3544
Phone: (603) 669-9200
Fax: (260) 230-2053
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 073522-23 (NH)

Record details

NPI number1275041642
Entity typeIndividual (Type 1)
GenderMale
Credentials AGACNP-BC
Sole proprietorNo
NPI enumeratedJanuary 18, 2018
Last updated in NPPESApril 20, 2021
Certification dateApril 20, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Elliot Professional Services — 424 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Manchester