Individual provider Active NPI

Colleen Skeirik, APRN

  • Family Medicine Physician
  • Derry, NH
National Provider Identifier
1437813979
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
073935-23 Issued in NH
Practice address
15 Tsienneto Rd Ste 200
Derry, NH 03038-1559
Phone
(603) 552-3309
Fax
(603) 965-4177
NPI assigned
Oct 29, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 073935-23 NH Primary

Addresses

Primary practice location

15 Tsienneto Rd Ste 200
Derry, NH 03038-1559

Mailing address

6 Buttrick Rd
Ste 102
Londonderry, NH 03053-3417
Phone (603) 537-1300

Other practice location 1

17 Belmont Ave Rm G104
Brattleboro, VT 05301-7601
Phone (603) 552-3309

Other practice location 2

62 Brown St Ste 304C
Haverhill, MA 01830-6790
Phone (603) 552-3309

Other identifiers 1

IdentifierTypeStateIssuer
073935-23MedicaidNH

Other names 1

  • Colleen Skeirik Venetos Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, VT2 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
I20220921001555 NH Practitioner - Nurse Practitioner 1254720071 Reassigns benefits to 2 organizations
I20221114000579 VT Practitioner - Nurse Practitioner 1254720071 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Diabetes and Lifestyle Management LLCGroup PAC ID 9638488927, 6 clinicians

Practice addresses (Care Compare)

15 Tsienneto Rd
Suite 200
Derry, NH 03038-3443
Phone (603) 552-3309

17 Belmont Ave
RM G104
Brattleboro, VT 05301-7601
Phone (603) 552-3309

Hospital & facility affiliations

  • Brattleboro Memorial Hospital Hospital, Brattleboro, VT, CCN 470011
  • St Joseph Hospital Hospital, Nashua, NH, CCN 300011
  • Grace Cottage Hospital Hospital, Townshend, VT, CCN 471300

Merit-based Incentive Payment System (MIPS)

Final score
44.99 of 100Reported as group
Quality
41.52
Improvement activities
0
Cost
82

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
St Joseph Hospital of Nashua NH Family Medicine CurrentSince Aug 18, 2025 Accepting new patients
St Joseph Hospital of Nashua NH CurrentSince Aug 18, 2025 Accepting new patients
Diabetes and Lifestyle Management, LLC Family CurrentSince Aug 25, 2022 Accepting new patients
Derry Medical Center, PA Family Medicine CurrentSince Jun 4, 2023 Accepting new patients
Southern New Hampshire Internal Medicine Associates, PLLC Past Accepting new patients

Locations

62 Brown St
Ste 304C
Haverhill, MA 01830
Phone (603) 552-3309

6 Tsienneto Rd
Ste 100
Derry, NH 03038

15 Tsienneto Rd
Ste 200
Derry, NH 03038
Phone (603) 552-3309

25 Nashua Rd
Unit A1
Londonderry, NH 03053
Phone (603) 552-3309

6 Buttrick Rd
Ste 102
Londonderry, NH 03053
Phone (603) 537-1308

172 Kinsley St
Nashua, NH 03060
Phone (603) 595-3926

168 Kinsley St
Nashua, NH 03060
Phone (603) 578-9363

6 Old Fremont Road Ext
Raymond, NH 03077
Phone (603) 537-1363

23 Stiles Rd
Ste 102
Salem, NH 03079
Phone (603) 421-2018

49 Range Rd
Ste 110
Windham, NH 03087

17 Belmont Ave
Rm G104
Brattleboro, VT 05301
Phone (603) 552-3309

Interoperability endpoints

  • Direct secure messaging: colleenskeirik@dmcnh.allscriptsdirect.net

Organizations & group practices 5

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 4

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": "1635465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1437813979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 BUTTRICK RD",
            "address_2": "STE 102",
            "city": "LONDONDERRY",
            "state": "NH",
            "postal_code": "030533417",
            "telephone_number": "603-537-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 TSIENNETO RD STE 200",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "030381559",
            "telephone_number": "603-552-3309",
            "fax_number": "603-965-4177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17 Belmont Ave Rm G104",
            "address_purpose": "LOCATION",
            "city": "Brattleboro",
            "state": "VT",
            "postal_code": "053017601",
            "country_code": "US",
            "telephone_number": "603-552-3309",
            "fax_number": "603-965-4177",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "62 Brown St Ste 304C",
            "address_purpose": "LOCATION",
            "city": "Haverhill",
            "state": "MA",
            "postal_code": "018306790",
            "country_code": "US",
            "telephone_number": "603-552-3309",
            "fax_number": "603-965-4177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SKEIRIK",
        "first_name": "COLLEEN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-29",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "073935-23",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "073935-23",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COLLEEN",
            "last_name": "VENETOS",
            "middle_name": "SKEIRIK",
            "credential": "APRN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Derry, NH

Sources for this page

Verify at the official NPI Registry.