Active NPI
Kelli R Hickle, M.D.
- Plastic and Reconstructive Surgery Physician
- Westbrook, ME
National Provider Identifier
1013303544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- MD25330
- Practice address
- 11 Rock Row Ste 210
Westbrook, ME 04092-4877 - Phone
- (207) 775-3446
- Fax
- (207) 879-1646
- NPI assigned
- Apr 10, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | MD25330 | ME | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
11 Rock Row Ste 210
Westbrook, ME 04092-4877
Mailing address
11 Rock Row Ste 210
Westbrook, ME 04092-4877
Phone (207) 775-3446
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD25330 | Other | ME | MAINE MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Plastic and Reconstructive Surgery
- Education
- University of Arizona College of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11 Rock Row
Suite 210
Westbrook, ME 04092-4877
Phone (207) 775-3446
Hospital & facility affiliations
- Mainehealth Maine Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 1-10 |
| Melanoma (skin cancer) excision | 19 |
| Removal of tissue | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Plastic & Hand Surgical Associates | Plastic and Reconstructive Surgery | Current | Accepting new patients |
| Plastic & Hand Surgical Associates | Past | Accepting new patients |
Locations
244 Western Ave
#100
South Portland, ME 04106
Phone (207) 775-3446
244 Western Ave
South Portland, ME 04106
Phone (207) 775-3446
11 Rock Row
Ste 210
Westbrook, ME 04092
Phone (207) 775-3446
Interoperability endpoints
- khickle554610@direct.mmc.mainehealth.org
- khickle@directaddress.net
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Plastic Surgery Physician
- Westbrook, ME
- NPI 1679687594
Plastic and Reconstructive Surgery
-
- Ambulatory Surgical Clinic/Center
- Westbrook, ME
- NPI 1366453730
Hospital & facility affiliations 36
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Scarborough, ME
- NPI 1053647024
-
- General Acute Care Hospital
- Portland, ME
- NPI 1346267879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783296000000",
"number": "1013303544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 ROCK ROW STE 210",
"city": "WESTBROOK",
"state": "ME",
"postal_code": "040924877",
"telephone_number": "207-775-3446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 ROCK ROW STE 210",
"city": "WESTBROOK",
"state": "ME",
"postal_code": "040924877",
"telephone_number": "207-775-3446",
"fax_number": "207-879-1646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKLE",
"first_name": "KELLI",
"middle_name": "R",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-10",
"last_updated": "2026-07-06",
"certification_date": "2026-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "ME",
"license": "MD25330",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAINE MEDICAL LICENSE",
"identifier": "MD25330",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Westbrook, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.