Individual provider Active NPI

Richard Wayne Hammack, NP-C

  • Family Nurse Practitioner
  • Newport, OR
National Provider Identifier
1639504871
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201603408NP-PP Issued in OR
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, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, KS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170412002224 CO Practitioner - Nurse Practitioner 6800025651 Reassigns benefits to 6 organizations
I20210218002039 KS Practitioner - Nurse Practitioner 6800025651 Reassigns benefits to 2 organizations

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
Gold Physical Medicine and Rehabilitation PCGroup PAC ID 9133479546, 27 clinicians
Great Plains of Cheyenne Co IncGroup PAC ID 7517958523, shared by 5 NPIs, 10 clinicians
Alpiinrok Physiatry IncGroup PAC ID 6002293230, 4 clinicians

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

LicenseStateTypeSpecialty
APN.0990879-NPCOMDFamily Nurse Practitioner
201603408NP-PPORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wray Community District Hospital CurrentSince Aug 8, 2017 Accepting new patients
Kit Carson County Health Services District CurrentSince Dec 1, 2025 Accepting new patients
Great Plains of Cheyenne Co. Inc CurrentSince May 1, 2022 Accepting new patients
Kit Carson County Health Services District CurrentSince Dec 1, 2025 Accepting new patients
Wray Community District Hospital Current Accepting new patients
Alpiinrok Physiatry Inc CurrentSince Mar 1, 2025 Accepting new patients
Gold Physical Medicine and Rehabilitation PC CurrentSince May 14, 2025 Accepting new patients
Wray Community District Hospital CurrentSince Aug 8, 2017 Accepting new patients
Great Plains of Cheyenne Co Inc CurrentSince May 1, 2022 Accepting new patients
Great Plains of Cheyenne Co. Inc Current Accepting new patients
Colorado Urgent Care PLLC PastSince Aug 2, 2020 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

  • FHIR API: https://fhir-myrecord.cerner.com/r4/ntTIZxOIDS2tB2PUqr33FYQo0UWd2W9R/
  • Direct secure messaging: 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.

View all 15

Hospital & facility affiliations 7

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

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

Verify at the official NPI Registry.