Active NPI
Richard Wayne Hammack, NP-C
- Family Nurse Practitioner
- Newport, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 201603408NP-PP
- Practice address
- 930 SW Abbey St
Newport, OR 97365-4820 - Phone
- (541) 574-1818
- Fax
- (541) 574-1831
- NPI assigned
- Sep 6, 2013
- Last updated
- Mar 17, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 53-78103 | KS | |
| Family Nurse Practitioner | 363LF0000X | APN.0990879-NP | CO | |
| Family Nurse Practitioner | 363LF0000X | 201603408NP-PP | OR | Primary |
Addresses
Primary practice location
930 SW Abbey St
Newport, OR 97365-4820
Mailing address
930 SW Abbey St
Newport, OR 97365-4820
Phone (541) 574-1818
Other practice location 1
5965 Firestone Blvd
Firestone, CO 80504-6607
Phone (720) 652-7055
Other practice location 2
100 E College Dr
Colby, KS 67701-3799
Phone (785) 462-7511
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Great Plains of Cheyenne Co Inc
Practice addresses (Care Compare)
1690 Meade St
Denver, CO 80204-1552
Phone (303) 264-6900
210 W 1St St
Saint Francis, KS 67756-3540
Phone (785) 332-2104
221 W 1St St
Cheyenne County Clinic
St Francis, KS 67756-7756
Phone (785) 332-2682
600 Golden Ridge Rd
Golden, CO 80401-8916
Phone (313) 213-0692
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN.0990879-NP | CO | MD | Family Nurse Practitioner |
| 201603408NP-PP | OR | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wray Community District Hospital | Current | Accepting new patients | |
| Kit Carson County Health Services District | Current | Accepting new patients | |
| Great Plains of Cheyenne Co. Inc | Current | Accepting new patients | |
| Kit Carson County Health Services District | Current | Accepting new patients | |
| Wray Community District Hospital | Current | Accepting new patients | |
| Alpiinrok Physiatry Inc | Current | Accepting new patients | |
| Gold Physical Medicine and Rehabilitation PC | Current | Accepting new patients | |
| Wray Community District Hospital | Current | Accepting new patients | |
| Great Plains of Cheyenne Co Inc | Current | Accepting new patients | |
| Great Plains of Cheyenne Co. Inc | Current | Accepting new patients | |
| Colorado Urgent Care PLLC | Past | Accepting new patients | |
| Great Plains of Cheyenne Co Inc | Past | Accepting new patients | |
| Mid-America Cardiology Associates, Inc. | Past | Accepting new patients | |
| Carrington Health Center | Past | Accepting new patients |
Locations
1630 30th St
Ste A336
Boulder, CO 80301
Phone (313) 213-0692
1690 Meade St
Denver, CO 80204
Phone (303) 264-6854
600 Golden Ridge Rd
Golden, CO 80401
Phone (303) 317-5002
6500 W 104th Ave
Westminster, CO 80020
Phone (720) 573-5000
1017 W 7th St
Wray, CO 80758
Phone (970) 332-4811
700 Main St
Wray, CO 80758
Phone (970) 332-3450
210 W 1st St
Saint Francis, KS 67756
Phone (785) 332-2104
221 W 1st St
Saint Francis, KS 67756
Phone (785) 332-2381
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/ntTIZxOIDS2tB2PUqr33FYQo0UWd2W9R/
- richard.hammack.1@17361.direct.athenahealth.com
Organizations & group practices 15
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.
-
- Physical Medicine & Rehabilitation Physician
- Golden, CO
- NPI 1831834845
-
- Physical Medicine & Rehabilitation Physician
- Las Vegas, NV
- NPI 1861986465
CO
-
dba Cheyenne County Clinic
- Rural Health Clinic/Center
- Saint Francis, KS
- NPI 1982644936
-
dba Cheyenne County Hospital
- Critical Access Hospital
- Saint Francis, KS
- NPI 1992736458
-
dba Kit Carson County Memorial Hospital
- Critical Access Hospital
- Burlington, CO
- NPI 1184711475
-
dba The Wray Clinic
- General Practice Physician
- Wray, CO
- NPI 1477587202
-
- Critical Access Hospital
- Springfield, CO
- NPI 1285727297
-
dba Cheyenne County Health Department
- Public Health or Welfare Agency
- Saint Francis, KS
- NPI 1134150659
-
dba Stratton Medical Clinic
- Rural Health Clinic/Center
- Stratton, CO
- NPI 1124122403
-
- Critical Access Hospital
- Wray, CO
- NPI 1083640239
-
dba Wray Physical Therapy
- Physical Therapist
- Wray, CO
- NPI 1912486820
-
dba CHI St. Alexius Health Carrington Medical Clinic & Urgent Care
- Rural Health Clinic/Center
- Carrington, ND
- NPI 1558389338
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Cheyenne County Hospital
- Critical Access Hospital
- Saint Francis, KS
- NPI 1992736458
-
dba Kit Carson County Memorial Hospital
- Critical Access Hospital
- Burlington, CO
- NPI 1184711475
-
- Critical Access Hospital
- Julesburg, CO
- NPI 1740295591
-
- Critical Access Hospital
- Springfield, CO
- NPI 1285727297
-
- Medicare Defined Swing Bed Hospital Unit
- Springfield, CO
- NPI 1780258475
-
- Critical Access Hospital
- Springfield, CO
- NPI 1518531201
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615939200000",
"number": "1639504871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "930 SW ABBEY ST",
"city": "NEWPORT",
"state": "OR",
"postal_code": "973654820",
"telephone_number": "541-574-1818",
"fax_number": "541-574-1831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "930 SW ABBEY ST",
"city": "NEWPORT",
"state": "OR",
"postal_code": "973654820",
"telephone_number": "541-574-1818",
"fax_number": "541-574-1831"
}
],
"practiceLocations": [
{
"address_1": "5965 Firestone Blvd",
"address_purpose": "LOCATION",
"city": "Firestone",
"state": "CO",
"postal_code": "805046607",
"country_code": "US",
"telephone_number": "720-652-7055",
"fax_number": "720-652-7056",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 E College Dr",
"address_purpose": "LOCATION",
"city": "Colby",
"state": "KS",
"postal_code": "677013799",
"country_code": "US",
"telephone_number": "785-462-7511",
"fax_number": "785-460-1490",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAMMACK",
"first_name": "RICHARD",
"middle_name": "WAYNE",
"name_prefix": "Mr.",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-09-06",
"last_updated": "2021-03-17",
"certification_date": "2021-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KS",
"license": "53-78103",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CO",
"license": "APN.0990879-NP",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "201603408NP-PP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newport, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; 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.