Individual provider Active NPI

Marie A Hupper, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Rumford, ME
National Provider Identifier
1790329233
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP191135 Issued in ME
Practice address
35 Hartford St
Rumford, ME 04276-2045
Phone
(207) 369-2305
NPI assigned
Oct 28, 2019
Last updated
Oct 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CNP191135 ME Primary

Addresses

Primary practice location

35 Hartford St
Rumford, ME 04276-2045

Mailing address

35 Hartford St
Rumford, ME 04276-2045
Phone (207) 535-8210

Other practice location 1

254 Commercial St Ste 245
Portland, ME 04101-4899
Phone (616) 229-2935

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CNP191135MEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Marathon Health LLC CurrentSince Jul 31, 2023 Accepting new patients

Locations

35 Hartford St
Rumford, ME 04276
Phone (207) 369-2305

Interoperability endpoints

  • Direct secure messaging: marie.hupper.1@14940.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1572220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1790329233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 HARTFORD ST",
            "city": "RUMFORD",
            "state": "ME",
            "postal_code": "042762045",
            "telephone_number": "207-535-8210",
            "fax_number": "833-941-1334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 HARTFORD ST",
            "city": "RUMFORD",
            "state": "ME",
            "postal_code": "042762045",
            "telephone_number": "207-369-2305"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "254 Commercial St Ste 245",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041014899",
            "country_code": "US",
            "telephone_number": "616-229-2935",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUPPER",
        "first_name": "MARIE",
        "middle_name": "A",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-28",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP191135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rumford, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.