Maxwell Hogue

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN02399 Issued in RI

Practice address

375 Wampanoag TRL
Riverside, RI 02915-2232

Phone

(401) 649-4020

Fax

(401) 649-4021

NPI assigned

Sep 12, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in RI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Wickford Family Practice LLC

  • Family Nurse Practitioner
  • North Kingstown, RI
  • NPI 1710698667
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1568246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1235789231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 BOSTON NECK RD",
            "city": "NORTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028526235",
            "telephone_number": "603-667-6765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 WAMPANOAG TRL",
            "city": "RIVERSIDE",
            "state": "RI",
            "postal_code": "029152232",
            "telephone_number": "401-649-4020",
            "fax_number": "401-649-4021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 Phillips St Ste 102",
            "address_purpose": "LOCATION",
            "city": "North Kingstown",
            "state": "RI",
            "postal_code": "028525149",
            "country_code": "US",
            "telephone_number": "603-667-6765",
            "fax_number": "401-340-1656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOGUE",
        "first_name": "MAXWELL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-12",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2313022",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "RI",
            "license": "APRN02399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Herrera
• Samuel V. Highland, PSYD
• Mica Hinga, LCSW
• Emily Beth Ho, RNP
• Andrea Jean Hogan, LICSW
• Peter Amberg Hollmann, MD
• Taylor Holt, DPT
• Erik Hood, M.S
• Catherine Horton, LICSW
• Susie Lee Hu, MD

• Family Nurse Practitioner in Riverside, RI
• Providers in Riverside, RI by specialty
• Family Nurse Practitioner in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; 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.

Verify at the official NPI Registry.