A Partnership for Your Better Health

At YourMedicalHome, our goal is to bring the caring back to healthcare. And at its foundation is our pledge to all our patients: We will treat you as we would want our own family members to be treated.

Our model focuses on you and your needs. We value and encourage open communication between patient and provider. We know that the best healthcare comes from a partnership with our patients. One where there is a cooperative and continuous effort toward a common healthcare goal.  We aim to provide a partnership that understands that preventative measures are critical for long-term health and quality of life.

Our commitment to quality healthcare for all starts here, at our website. Our healthcare information and tools are free to everyone, because we hope to educate and empower everyone–whether you are a current patient or not.

So join us as we embrace the type of personal commitment and caring lost to the modern medical industry and couple it with the best of modern-day primary care.

More than Just Words

It’s easy enough to say that you provide healthcare in a new and innovative manner, but our pledge comes with real, tangible differences. YourMedicalHome provides patients with:

  • After hours cell phone access directly to a physician, which avoids unnecessary and costly ER visits
  • The ability to not just request but actually self-schedule your appointments
  • Email addresses so you can communicate directly with your providers and don’t have to worry about your messages getting “filtered” by staff members

We encourage to explore the site by clicking the following links.


Let us introduce you to our providers, our innovative model of care and our policies.


Ask a question, make a request, schedule an appointment, or even make a payment. We’ll engage in any way that works best for you.


Discover the latest news at YourMedicalHome, peruse frequently asked questions, or just review survey results.

Inform & Educate

Information from reputable sources gives you the information and tools that educate and empower.

Inspire & Motivate

Provocative information and resources that we hope will interest, inform, and challenge you.

Support & Encourage

Resources to support & encourage other healthcare professionals who may be interested in a new model of care.


Patient Portal

Please visit our portal to self-schedule an appointment or communicate with our practice online.
(Enrolled patients only)

Latest News

New Patients

We continue to receive a high number of inquiries from prospective patients regarding our practice. We want to be sure our practice is a perfect match for your needs. Please review our website carefully (including our insurance and payment policies) to see if we might be a great fit for you. Should you be interested in enrolling, please click here for more enrollment information and to request an enrollment packet. Should you be enrolled in Medicare Part B, please click here for more information.

Confidence Matters

Confidence is a key indicator for gauging levels of self-care, self-management, and the ability to change behaviors. Almost everyone can become more health confident and active in managing or controlling health problems, health risks or concerns. When you think about it, confidence is key to many things in our lives, such as finding a job, putting a nutrition or exercise plan into action, or changing any behavior you would like to improve. Let’s work together to increase your confidence in all of your health goals! Take a moment and click here. By discovering where you are, we can help you get to where you want to be!

Get to Know NH Healthcosts

If you are a consumer of healthcare (and who isn’t), you need to be very familiar with this website: Run by the State of NH Department of Insurance, this site provides comparative pricing information for all things medical from office visits, to MRIs to surgery. For example, as of November 2016, the anticipated out of pocket cost of a brain MRI (anthem, high deductible plan)would be $4000 or $3444 or $1872 out of pocket. Same machine, same test. All done at a high-quality hospital within 20 miles of Exeter. I have been told that there may be a lag updating these prices on the website (so best to check directly with the provider), but you can still get an idea of the general cost of services at various institutions. If what you need is not an emergency, a little homework can result in significant savings without giving up high quality.

Not Your Typical Library

We find a great book can provide that ‘ah ha’ moment‘ and get us thinking about better health, ways to change a behavior or help us through a difficult transition. Our waiting room is stocked with some excellent titles for the taking! If you see one you like (and promise to read it) it is yours for the taking! Read it and pass it on, we will replace it. It is one way we invest in tools that can have a profound impact. To take a look at some of the titles in our library, click here.

Your Medical Home

21 Hampton Road, Building 2, Suite 201 Exeter, NH. 03833

Phone: 603.418.6310
Fax: 603.418.6311

Office Hours
Monday - Friday, 8:30am - 5:00pm

Jim, born and raised on Cape Cod, attended the University of Massachusetts School of Medicine after graduating Phi Beta Kappa from the University of Vermont.  He completed his Family Practice Residency in Baltimore, Maryland in 1990, serving as Chief Resident during his third year.  After enjoying private practice for 5 years, he was one of the first Physicians to form CORE Health Services, a large, multispecialty group, serving on their Board of Directors.   After 10 years as an employed Physician, he established YourMedicalHome as an independent, Primary Care Practice, with a vision of the Patient Centered Model of Care.  He maintains privileges at Exeter Hospital, and has served on Medical Staff Leadership of that institution.

Various experiences, including involvement with the Institute for Healthcare Improvement, the Ideal Medical Practices Collaborative, the Dartmouth Cooperative Research Network as well as practicing in a number of different Primary Care Models has provided Jim with a unique perspective into what works, and what does not work, in the Primary Care Setting.  He has found the smaller practice model to be an ideal way to bring innovation in care delivery quickly to where it matters most, the patient.  This can be as simple as a phone system that allows all (including Physicians) to answer the phone, to patient direct online scheduling, to the encouragement of email communication, or to something as ‘old fashioned’ as regularly performing house calls.

Jim believes that excellent and timely communication, easy access and continuity of care are absolutely critical to the care we provide, and believes that all we do should augment these goals.  He enjoys speaking about any issue involving the practice of medicine and greatly enjoys the long term relationships with the patients of the practice, realizing that these insights can be very important in the provision of the care they need, and want.

You may see him jogging, biking or rowing around the Seacoast.  He is married to Casey (see below) and lives in Exeter with Casey and their four children, two girls followed by two boys.

Kareen is an Osteopathic Physician. Growing up in a family of ten children in suburban Boston, she knew that she wanted to be a “Family Doc” since the age of eight. Her background training includes an undergraduate degree in Biology from Saint Michael’s College in Vermont, and a Doctor of Osteopathic Medicine from the University of New England in Maine.  For over 20 years, she has been committed to helping patients achieve better health. Kareen believes that being healthy is a partnership between the patient and the physician, and is committed to helping guide her patients to a healthier life.  Kareen is passionately interested in preventative care, fitness, exercise and other lifestyle choices the patient can make to deal with stresses that contribute to so many illnesses.  She is quick to prescribe lifestyle changes and exercise, and is slower to suggest “fix-it pharmaceuticals” which often only treat symptoms, not their underlying causes.  She has been involved with the developing science of Resiliency Training through the University of Pennsylvania, helping teach these techniques to those in the military.

Kareen lives on the Seacoast of New Hampshire with her husband of over twenty years, Peter.  They are avid cruising sailors, and have cruised from Newfoundland and Labrador, through the coast of Maine, the Caribbean, in Ireland and England, and the South Pacific.  Kareen is committed to physical fitness, particularly enjoys being with her large extended family, reading, photography, travel, amateur woodworking and loves old quilts. Kareen sees patients in the office a couple of days per week, and makes house calls when necessary.  When not in the office, you’ll often find her somewhere on the water!

Casey, a Pediatric Nurse Practitioner, was born and raised near Washington DC.  She received her Bachelors of Science in Nursing from Fitchburg State College, graduating Magna Cum Laude.  She earned her Masters in Nursing from the University of Maryland while working at Children's Hospital National Medical Center in Washington, DC. Casey has more than 20 years of experience caring for children in the outpatient setting.  This experience, coupled with raising four children of her own, gives Casey ample perspective and empathy, with regards to the unique needs of our pediatric patients and their families.

Casey is married to the ‘other’ Bloomer in the practice and enjoys her large extended family, being the 9th of 10 children.  You might also see her running around town, literally. She values spending ample time with all families to address whatever issues might arise.

Susan, a Family Nurse Practitioner, graduated with a Bachelor of Science in Nursing from UMASS, Lowell in 1979. She enjoyed working in a variety of settings including the Greater Lawrence VNA, and during the early 1980s was thrilled to be involved in the planning and development of the hospice program for that organization. While working and raising her children, Sue went back to UMASS to obtain her Masters Degree in Nursing. She has had the pleasure of working for 16 years in Family Practice with Michael Lannon, MD, until his retirement in August 2010 at which time she joined YourMedicalHome. She has learned so much over the past 30 years of nursing practice, both from her coworkers and particularly from her patients. Sue believes that listening is crucial to helping people and looks forward to meeting with patients and their families, listening to their concerns and working with them to develop a plan of care to optimize their health. Sue lives on the Seacoast with Tom, her husband. They have three grown children and an overgrown Westie. She enjoys being outdoors, walking, hiking, XC-skiing and spending time with her family.

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