Colleen Elizabeth Slawiak, PA-C
Individual provider Active NPI Medical Physician Assistant · Concord, NH
NPI 1366086936 · NPPES record last updated Nov 4, 2024
Key facts
- NPI
- 1366086936
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 2881 (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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Clearchoicemd, PLLC
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 100
- Quality
- 73.23
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241111001403 | NH | Practitioner - Physician Assistant | 2163859562 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2881 | NH | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clearchoicemd, PLLC | Current |
Accepting new patients | |
| Alliance Urgent Care Services, LLC | Current |
Accepting new patients | |
| Convenientmd LLC | Past | Accepting new patients |
Locations
10 Ferry St
Ste 302
Concord, NH 03301
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
- colleenhenry@fvh.medalliesdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Medical Physician Assistant | 363AM0700X | PA7313 | MA | |
| Medical Physician Assistant | 363AM0700X | 2881 | NH | Yes |
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
- Colleen Elizabeth Henry
Other providers in Concord, NH
- Samrath Singh
- Elizabeth Sirois
- Lauren Lynn Skusevich
- Cathleen Slack
- Nathanael A. Slater
- Sleep Apnea & Snoring Institute
- Jocelyn Small
- Smile Master of Concord
- Smiles ABA NH LLC
- Tara Diane Smith-Garcia
All providers in Concord, NH · Medical Physician Assistant in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 4, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.