NEW HAMPSHIRE DERM CLINIC, PLLC
NPI 1881042828
Nurse Practitioner - Family in Peterborough, NH

Active since June 01, 2016CLIA 30D2115590 · Microscopy
454 OLD STREET RD STE 202, PETERBOROUGH, NH 03458(603) 213-0806(844) 369-5320 Get Directions Write a Review

NPPES record last updated: January 18, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About New Hampshire Derm Clinic, Pllc NPPES

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

NEW HAMPSHIRE DERM CLINIC, PLLC (NPI 1881042828) is a healthcare organization registered as a family in Peterborough, New Hampshire and active in the NPI registry since June 2016. The organization holds a CLIA Microscopy certificate valid through July 10, 2028 and lists Brian Peter Cromer, Np, as its authorized official.

NPPES Registry Identity

NPI1881042828
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameNEW HAMPSHIRE DERM CLINIC, PLLC
Location Address454 OLD STREET RD STE 202Peterborough, NH 03458-1200
Mailing Address454 Old Street Rd Ste 202Peterborough, NH 03458-1200 · (603) 213-0806 · Fax (844) 369-5320
Fax(844) 369-5320
Organization SubpartNo
Authorized OfficialBrian Peter CromerNp · (603) 213-0806
Enumeration DateJune 1, 2016
Last NPPES UpdateJanuary 18, 2026
NPPES CertifiedJanuary 18, 2026
✔ NPI 1881042828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NH · 05812823
454 OLD STREET RD STE 202, Peterborough, NH 03458

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

New Hampshire Derm Clinic, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to New Hampshire Derm Clinic, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1457436362
454 OLD STREET RD STE 202
Peterborough, NH 03458
(603) 213-0806
✔ PECOSSame address

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 for Provider-Performed Microscopy Procedures (PPMP) 30D2115590

New Hampshire Derm Clinic, PLLC · Peterborough, NH
Active · expires Jul 10, 2028
CLIA Number30D2115590
Laboratory TypePhysician Office
Certificate Effective DateJuly 11, 2026
Certificate Expiration DateJuly 10, 2028
Laboratory DirectorBrian P. Cromer
Laboratory Phone(860) 800-3376
Laboratory LocationNew Hampshire Derm Clinic, PLLC452 Old Street Rd, Peterborough, NH 03458
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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 New Hampshire Derm Clinic, PLLC's NPI number?

The NPI number for New Hampshire Derm Clinic, PLLC is 1881042828. It was assigned to this organization in the NPPES registry on June 1, 2016.

Where is New Hampshire Derm Clinic, PLLC located?

New Hampshire Derm Clinic, PLLC is located at 454 Old Street Rd Ste 202, Peterborough, NH 03458. The listed phone number is (603) 213-0806.

What is New Hampshire Derm Clinic, PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is New Hampshire Derm Clinic, PLLC enrolled in Medicare?

Yes. New Hampshire Derm Clinic, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through New Hampshire Derm Clinic, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to New Hampshire Derm Clinic, PLLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does New Hampshire Derm Clinic, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 30D2115590) is associated with this NPI, valid through July 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for New Hampshire Derm Clinic, PLLC was last updated on January 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.