Individual provider Active NPI

Roni A Conlon, NURSE PRACTITIONER

  • Nurse Practitioner
  • Wilton, NH
National Provider Identifier
1871143545
Registry record updated Jul 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
067983-23 Issued in NH
Practice address
60 Burns Hill Rd
Wilton, NH 03086-5104
Phone
(603) 204-7740
NPI assigned
Sep 16, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2023

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 101.0134443 VT
Nurse Practitioner 363L00000X 067983-23 NH Primary

Addresses

Primary practice location

60 Burns Hill Rd
Wilton, NH 03086-5104

Mailing address

60 Burns Hill Rd
Wilton, NH 03086-5104
Phone (603) 204-7740

Other practice location 1

60 Burns Hill Rd.
Wilton, NH 03086-0308
Phone (603) 204-7740

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT, 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
I20191218003129 VT Practitioner - Nurse Practitioner 0648604918 Reassigns benefits to 2 organizations
I20200324002495 NH Practitioner - Nurse Practitioner 0648604918 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alignmed Partners PCGroup PAC ID 9739447400, 34 clinicians

Practice addresses (Care Compare)

596 Sheldon Rd
Saint Albans, VT 05478-8011
Phone (802) 524-6534

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
067983-23NHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alignmed Partners, PC CurrentSince Nov 6, 2019 Accepting new patients
Genesis Eldercare Physician Services LLC CurrentSince Feb 19, 2020 Accepting new patients
Alignmed Medical Group, PC CurrentSince Aug 24, 2024 Accepting new patients

Locations

239 Pleasant St
Concord, NH 03301
Phone (603) 224-6561

175 Blueberry Ln
Laconia, NH 03246
Phone (603) 524-3340

24 Old Etna Rd
Lebanon, NH 03766
Phone (603) 442-4207

8 Snow Rd
Winchester, NH 03470
Phone (603) 239-6355

35 Bel Aire Dr
Newport, VT 05855
Phone (802) 334-2878

9 Haywood Ave
Rutland, VT 05701
Phone (802) 747-6433

596 Sheldon Rd
Saint Albans, VT 05478
Phone (802) 524-6534

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1568592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1871143545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 BURNS HILL RD",
            "city": "WILTON",
            "state": "NH",
            "postal_code": "030865104",
            "telephone_number": "603-204-7740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 BURNS HILL RD",
            "city": "WILTON",
            "state": "NH",
            "postal_code": "030865104",
            "telephone_number": "603-204-7740"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60 BURNS HILL RD.",
            "address_purpose": "LOCATION",
            "city": "WILTON",
            "state": "NH",
            "postal_code": "030860308",
            "country_code": "US",
            "telephone_number": "603-204-7740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONLON",
        "first_name": "RONI",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-16",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VT",
            "license": "101.0134443",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NH",
            "license": "067983-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilton, NH

Sources for this page

Verify at the official NPI Registry.