NPIMap

Individual provider Active NPI

Kelli R Hickle, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Westbrook, ME
National Provider Identifier
1013303544
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
MD25330 Issued in ME
Practice address
11 Rock Row Ste 210
Westbrook, ME 04092-4877
Phone
(207) 775-3446
Fax
(207) 879-1646
NPI assigned
Apr 10, 2015
Last updated
Jul 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220720000982 ME Practitioner - Plastic and Reconstructive Surgery 4486961430 Reassigns benefits to 1 organization

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision19
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD25330MEMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Plastic & Hand Surgical Associates Plastic and Reconstructive Surgery CurrentSince Aug 31, 2022 Accepting new patients
Plastic & Hand Surgical Associates Past Accepting new patients

Locations

244 Western Ave
South Portland, ME 04106
Phone (207) 775-3446

244 Western Ave
#100
South Portland, ME 04106
Phone (207) 775-3446

11 Rock Row
Ste 210
Westbrook, ME 04092
Phone (207) 775-3446

Interoperability endpoints

  • Direct secure messaging: khickle@directaddress.net
  • Direct secure messaging: khickle554610@direct.mmc.mainehealth.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 36

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 36

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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westbrook, ME

Sources for this page

Verify at the official NPI Registry.