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CONVENIENTMD LLC
NPI 1174238992
Family Medicine in Manchester, NH

Active since January 16, 2023CLIA 30D2285429 · Waiver
545 HOOKSETT RD UNIT 1, MANCHESTER, NH 03104(603) 255-4775 Get Directions Write a Review

NPPES record last updated: January 16, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Convenientmd Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CONVENIENTMD LLC (NPI 1174238992) is a healthcare organization registered as a family medicine in Manchester, New Hampshire and active in the NPI registry since January 2023. The organization holds a CLIA Waiver certificate valid through July 11, 2027 and lists Jarod Boissonneault, Vp, Revenue Cycle Mgt, as its authorized official.

NPPES Registry Identity

NPI1174238992
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCONVENIENTMD LLC
Location Address545 HOOKSETT RD UNIT 1Manchester, NH 03104-2654
Mailing Address111 Nh AvePortsmouth, NH 03801-2864 · (603) 410-6700
Phone(603) 255-4775
Organization SubpartNo
Authorized OfficialJarod BoissonneaultVp, Revenue Cycle Mgt · (603) 319-6223
Enumeration DateJanuary 16, 2023
NPPES CertifiedJanuary 16, 2023
✔ NPI 1174238992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
545 HOOKSETT RD UNIT 1, Manchester, NH 03104
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Convenientmd Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Convenientmd LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians by Medicare Specialty 3

Nurse Practitioner6
Family Practice3
Clinical Social Worker1

Clinicians, nearest first (10)

Dana Phillips, APRN, MSN, FNP-C
Nurse Practitioner
NPI 1790475986
545 HOOKSETT RD UNIT 1
Manchester, NH 03104
(603) 255-4775
✔ PECOS✔ Accepts MedicareSame address
James Barlow, DO
Family Practice
NPI 1699187963
21 HAMPTON RD STE 201
Exeter, NH 03833
(603) 519-3092
✔ PECOS✔ Accepts Medicare27 mi
Andria Gilman, FNP-BC
Nurse Practitioner
NPI 1174196182
21 HAMPTON RD BLDG 2
Exeter, NH 03833
(603) 519-3092
✔ PECOS✔ Accepts Medicare27 mi
Elizabeth Remillong, MD
Family Practice
NPI 1538253539
161 CORPORATE DR
Portsmouth, NH 03801
(603) 431-5154
✔ PECOS✔ Accepts Medicare34 mi
Stephanie O'shaughnessy, LICSW
Clinical Social Worker
NPI 1699460212
1600 WOODBURY AVE
Portsmouth, NH 03801
(603) 602-9070
✔ PECOS34 mi
Katelyn Buchholz, FNP-C
Nurse Practitioner
NPI 1538627815
1600 WOODBURY AVE
Portsmouth, NH 03801
(603) 602-9070
✔ PECOS✔ Accepts Medicare34 mi
Ashley Holtan, FNP
Nurse Practitioner
NPI 1093346322
1600 WOODBURY AVE
Portsmouth, NH 03801
(603) 602-9070
✔ PECOS✔ Accepts Medicare34 mi
Eric Schneider, MD
Family Practice
NPI 1083642417
1600 WOODBURY AVE
Portsmouth, NH 03801
(603) 602-9070
✔ PECOS✔ Accepts Medicare34 mi
Brooke Friedl, APRN-CNP
Nurse Practitioner
NPI 1386270320
8 GREENLEAF WOODS DR
Portsmouth, NH 03801
(603) 749-2346
✔ PECOS✔ Accepts Medicare34 mi
Kelsie Cesarini, FNP-BC
Nurse Practitioner
NPI 1770244220
351 WINCHESTER ST
Keene, NH 03431
(603) 352-3406
✔ PECOS✔ Accepts Medicare43 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 30D2285429

Convenientmd Primary Care Manchester · Manchester, NH
Active · expires Jul 11, 2027
CLIA Number30D2285429
Laboratory TypePhysician Office
Certificate Effective DateJuly 12, 2025
Certificate Expiration DateJuly 11, 2027
Laboratory DirectorMelanie J. Herrick
Laboratory Phone(603) 255-4775
Laboratory LocationConvenientmd Primary Care Manchester545 Hooksett Rd, Unit 1, Manchester, NH 03104
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Convenientmd LLC's NPI number?

The NPI number for Convenientmd LLC is 1174238992. It was assigned to this organization in the NPPES registry on January 16, 2023.

Where is Convenientmd LLC located?

Convenientmd LLC is located at 545 Hooksett Rd Unit 1, Manchester, NH 03104. The listed phone number is (603) 255-4775.

What is Convenientmd LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Convenientmd LLC enrolled in Medicare?

Yes. Convenientmd LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Convenientmd LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 3 Medicare specialties reassign their Medicare billing to Convenientmd LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (6), Family Practice (3) and Clinical Social Worker (1). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Convenientmd LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 30D2285429) is associated with this NPI, valid through July 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Convenientmd LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Convenientmd LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Convenientmd LLC was last updated on January 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.