Active NPI
Marie A Hupper, NURSE PRACTITIONER
- Family Nurse Practitioner
- Rumford, ME
National Provider Identifier
1790329233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- CNP191135
- Practice address
- 35 Hartford St
Rumford, ME 04276-2045 - Phone
- (207) 369-2305
- NPI assigned
- Oct 28, 2019
- Last updated
- Oct 17, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| CNP191135 | ME | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marathon Health LLC | Current | Accepting new patients |
Locations
35 Hartford St
Rumford, ME 04276
Phone (207) 369-2305
Interoperability endpoints
- 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.
-
- Primary Care Nurse Practitioner
- Rumford, ME
- NPI 1457035396
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.