Built on Referrals,
Sustained by Trust

First Choice Community Medical Services brings primary, transitional, and post-hospitalization care to older adults throughout the Merrimack Valley and beyond.

A Practice Built for You

At First Choice Community Medical Services, we believe every older adult deserves consistent, expert medical care. Our certified Nurse Practitioners specialize in gerontological care, delivering comprehensive primary care across the Merrimack Valley so that health challenges never go unmanaged.

We don't just treat conditions — we care for people.

A growing network of care, rooted in experience & guided by compassion.

Est. 2015

Over a decade of dedicated patient care.

60+ years

of combined NP experience in health care.

24/7

Dependable care when timely support is needed.

In Their Own Words

“Haverhill Crossings Assisted Living has been working with First Choice Community Medical Services for 8 years now and their entire team is fantastic. The communication with both the nurse practitioners and the administrative staff is phenomenal. Their follow up and compassionate approach with their patients is unmatched. We value and highly recommend their services!”

Meredith, Senior Assisted Living Specialist

“It only makes sense that the nurses that work for Tracy Ramos, NP would also carry her mission & values. I can’t say enough about Tracy and her team. They are highly competent and professional Nurse Practitioners.”

Heidi, Resident Care Specialist