Individual provider Active NPI

Lindsey Hatcher, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Maple Grove, MN
National Provider Identifier
1801679634
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
10624 Issued in MN
Practice address
9325 Upland LN N Ste 370
Maple Grove, MN 55369-4463
Phone
(763) 388-4767
Fax
(612) 500-4907
NPI assigned
Aug 15, 2023
Last updated
Nov 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 10624 MN Primary

Addresses

Primary practice location

9325 Upland LN N Ste 370
Maple Grove, MN 55369-4463

Mailing address

9325 Upland LN N Ste 370
Maple Grove, MN 55369-4463
Phone (763) 388-4767

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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

Enrollment IDStateProvider typePAC IDDetails
I20231011000719 MN Practitioner - Nurse Practitioner 7911352976 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Minnesota Ketamine and Wellness Institute PAGroup PAC ID 9739584855, 3 clinicians

Practice addresses (Care Compare)

9325 Upland LN N
Suite 370
Maple Grove, MN 55369-4463
Phone (612) 394-8717

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Minnesota Ketamine and Wellness Institute PA CurrentSince Aug 15, 2023 Accepting new patients

Locations

9325 Upland Ln N
Ste 370
Maple Grove, MN 55369
Phone (612) 394-8717

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": "1692057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1801679634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9325 UPLAND LN N STE 370",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553694463",
            "telephone_number": "763-388-4767",
            "fax_number": "612-500-4907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9325 UPLAND LN N STE 370",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553694463",
            "telephone_number": "763-388-4767",
            "fax_number": "612-500-4907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATCHER",
        "first_name": "LINDSEY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-15",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "10624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maple Grove, MN

Sources for this page

Verify at the official NPI Registry.