DERRY MEDICAL CENTER, PA
NPI 1922030493
Family Medicine in Derry, NH
About Derry Medical Center, Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DERRY MEDICAL CENTER, PA (NPI 1922030493) is a healthcare organization registered as a family medicine in Derry, New Hampshire and active in the NPI registry since July 2006. The organization holds 5 active CLIA laboratory certificates, maintains 9 additional practice locations, and lists Tonya Lyn Wilson, Billing/credentialing Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 5
Secondary Practice Locations 9
Other Identifiers 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Derry Medical Center, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
80Medicare enrollment records show 80 clinicians reassign Medicare billing to Derry Medical Center, PA, which bills Medicare for the services they deliver. Of these, 53 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 8
Nearest to this location (20)
See all 80Source: 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 5
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 30D2125020
Derry Medical Center · Bedford, NHCertificate for Provider-Performed Microscopy Procedures (PPMP) 30D1062905
Derry Medical Center · Amherst, NHCertificate of Waiver 30D2190499
Derry Medical Center, PA · Derry, NHCertificate of Waiver 30D2047781
Derry Medical Center · Windham, NHCertificate for Provider-Performed Microscopy Procedures (PPMP) 30D2190750
Derry Medical Center · Derry, NHFrequently 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 Derry Medical Center, PA's NPI number?
The NPI number for Derry Medical Center, PA is 1922030493. It was assigned to this organization in the NPPES registry on July 7, 2006.
Where is Derry Medical Center, PA located?
Derry Medical Center, PA is located at 6 Tsienneto Rd Suite 100, Derry, NH 03038. The listed phone number is (603) 537-1300.
What is Derry Medical Center, PA's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Derry Medical Center, PA enrolled in Medicare?
Yes. Derry Medical Center, PA is registered in the Medicare PECOS enrollment system.
When is Derry Medical Center, PA's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New Hampshire, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Derry Medical Center, PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 80 clinicians in 8 Medicare specialties reassign their Medicare billing to Derry Medical Center, PA. 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 Family Practice (36), Nurse Practitioner (32) and Mental Health Counselor (4). Of these, 53 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Derry Medical Center, PA hold CLIA laboratory certificates?
Yes. 5 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does Derry Medical Center, PA accept?
Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Shield and WellSense Health Plan list Derry Medical Center, PA 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 Derry Medical Center, PA was last updated on April 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Derry Medical Center, Pa · NPI 1922030493
Family Medicine organization in Derry, New Hampshire. Organization record, active in the CMS NPPES registry since July 7, 2006.
## Identity
- **NPI:** 1922030493 (Entity type: Organization)
- **Enumerated:** July 7, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Tonya Wilson, BILLING/CREDENTIALING MANAGER
## Practice location
- **Address:** 6 TSIENNETO RD, SUITE 100, Derry, NH 03038-1584
- **Phone:** (603) 537-1300 · **Fax:** (603) 537-1326
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, New Hampshire, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 80 clinicians in 8 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (36), Nurse Practitioner (32), Mental Health Counselor (4); 53 practice within 10 miles; [full list](https://npiprofile.com/npi/1922030493/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 15, 2026
- **Other identifiers:** Other 709488 (NH); Medicaid 83019373 (NH)
- **CLIA laboratory certificates:** 5 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1922030493) · Data from the CMS NPPES public registry.