Individual provider Active NPI

Colleen Summers, APN-BC

  • Nurse Practitioner
  • Derry, NH
National Provider Identifier
1184934978
Registry record updated Sep 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
067080-21 Issued in NH
Practice address
6 Tsiennto Road
Suite 101LL
Derry, NH 03038
Phone
(781) 744-8400
Fax
(781) 744-5245
NPI assigned
Oct 14, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN/NP2259447 MA
Nurse Practitioner 363L00000X 067080-21 NH Primary

Addresses

Primary practice location

6 Tsiennto Road
Suite 101LL
Derry, NH 03038

Mailing address

41 Mall Rd
Lahey Clinic
Burlington, MA 01805-0001
Phone (781) 744-8400

Other identifiers 2

IdentifierTypeStateIssuer
110095056AMedicaidMA
3087936MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130306000395 MA Practitioner - Nurse Practitioner 2668652397 Reassigns benefits to 1 organization
I20130708000183 NH Practitioner - Nurse Practitioner 2668652397 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Parkland Physician Services IncGroup PAC ID 1254226517, 19 clinicians

Practice addresses (Care Compare)

6 Tsienneto Rd
Suite 203
Derry, NH 03038-1584
Phone (603) 434-7444

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.98 of 100Reported as apm
Quality
76.59
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN/NP2259447MAMDNurse Practitioner
067080-21NHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Parkland Physician Services, Inc. CurrentSince Jan 2, 2025 Accepting new patients
Lahey Clinic, Inc. CurrentSince Apr 4, 2018 Accepting new patients
Lahey Clinic, Inc Current Accepting new patients
Oncology Hematology Care Inc Past Accepting new patients

Locations

41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400

1 Parkland Dr
Derry, NH 03038
Phone (603) 421-2220

6 Tsienneto Rd
Ste 203
Derry, NH 03038
Phone (603) 434-7444

41 Buttrick Rd
Londonderry, NH 03053
Phone (603) 422-8693

6 Tsienneto Rd
Ste 101LL
Londonderry, NH 03038
Phone (603) 537-2060

254 N Broadway
Salem, NH 03079
Phone (603) 893-8899

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: colleen.summers@hca6.eclinicaldirectplus.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1287014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380067200000",
    "number": "1184934978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 MALL RD",
            "address_2": "LAHEY CLINIC",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018050001",
            "telephone_number": "781-744-8400",
            "fax_number": "781-744-5245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 TSIENNTO ROAD",
            "address_2": "SUITE 101LL",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "03038",
            "telephone_number": "781-744-8400",
            "fax_number": "781-744-5245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMMERS",
        "first_name": "COLLEEN",
        "name_prefix": "Mrs.",
        "credential": "APN-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-14",
        "last_updated": "2013-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN/NP2259447",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NH",
            "license": "067080-21",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110095056A",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3087936",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Derry, NH

Sources for this page

Verify at the official NPI Registry.