Individual provider Active NPI

Colleen Elizabeth Slawiak, PA-C

  • Medical Physician Assistant
  • Concord, NH
National Provider Identifier
1366086936
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
2881 Issued in NH
Practice address
246 Pleasant St BLDG West
Concord, NH 03301-2548
Phone
(603) 224-3388
Fax
(603) 227-7536
NPI assigned
Nov 6, 2019
Last updated
Nov 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Medical Physician Assistant 363AM0700X PA7313 MA
Medical Physician Assistant 363AM0700X 2881 NH Primary

Addresses

Primary practice location

246 Pleasant St BLDG West
Concord, NH 03301-2548

Mailing address

250 Pleasant St
Concord, NH 03301-2598
Phone (603) 227-7000

Other names 1

  • Colleen Elizabeth Henry Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20241111001403 NH Practitioner - Physician Assistant 2163859562 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Clearchoicemd, PLLCGroup PAC ID 1850510058, 85 clinicians

Practice addresses (Care Compare)

24 Homestead PL
Alton, NH 03809-4913
Phone (603) 822-4713

410 Miracle Mile
Lebanon, NH 03766-2639
Phone (603) 276-3260

75 Laconia Rd
Suite 500
Tilton, NH 03276-5240
Phone (603) 729-0050

77 S Main St
Rochester, NH 03867-2707
Phone (603) 509-9400

9 Old Lake Shore Rd
Gilford, NH 03249-6524
Phone (603) 602-7590

Merit-based Incentive Payment System (MIPS)

Final score
89 of 100Reported as apm
Quality
73.23
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2881NHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Urgent Care Services, LLC CurrentSince Feb 16, 2026 Accepting new patients
Clearchoicemd, PLLC CurrentSince Jun 1, 2025 Accepting new patients
Convenientmd LLC Past Accepting new patients

Locations

10 Ferry St
Ste 302
Concord, NH 03301
Phone (603) 333-1471

7 Cinemagic Way
Hooksett, NH 03106
Phone (603) 782-5112

410 Miracle Mile
Lebanon, NH 03766
Phone (603) 276-3260

77 S Main St
Rochester, NH 03867
Phone (603) 509-9400

75 Laconia Rd
Ste 500
Tilton, NH 03276
Phone (603) 729-0050

Interoperability endpoints

  • Direct secure messaging: colleenhenry@fvh.medalliesdirect.net

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1572998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1366086936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 PLEASANT ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033012598",
            "telephone_number": "603-227-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 PLEASANT ST BLDG WEST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033012548",
            "telephone_number": "603-224-3388",
            "fax_number": "603-227-7536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLAWIAK",
        "first_name": "COLLEEN",
        "middle_name": "ELIZABETH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-06",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MA",
            "license": "PA7313",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NH",
            "license": "2881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COLLEEN",
            "last_name": "HENRY",
            "middle_name": "ELIZABETH",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Concord, NH

Sources for this page

Verify at the official NPI Registry.