NPIMap

Individual provider Active NPI

Patti L. Duprey, ARNP

  • Family Nurse Practitioner
  • Kennebunk, ME
National Provider Identifier
1881672988
Registry record updated Dec 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP121019 Issued in ME
Practice address
57 Portland Road
Suite 5
Kennebunk, ME 04043
Phone
(207) 467-3777
Fax
(888) 312-0662
NPI assigned
Jan 9, 2006
Last updated
Dec 18, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 032355-23 NH
Family Nurse Practitioner 363LF0000X CNP121019 ME Primary

Addresses

Primary practice location

57 Portland Road
Suite 5
Kennebunk, ME 04043

Mailing address

57 Portland Road
Suite 5
Kennebunk, ME 04043-6031
Phone (207) 467-3777

Other practice location 1

45 Washington St
Suite 6
Conway, NH 03818-6031
Phone (603) 986-6430

Other identifiers 1

IdentifierTypeStateIssuer
30010058MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190430001173 ME Practitioner - Nurse Practitioner 7416921812 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

57 Portland Rd
Kennebunk, ME 04043-6661
Phone (207) 467-3777

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hothersall Consultants LLC CurrentSince Jan 26, 2019 Accepting new patients
MWV Health Care Assoc Past Accepting new patients

Locations

57 Portland Rd
Kennebunk, ME 04043
Phone (207) 467-3777

57 Portland Rd
#L
Kennebunk, ME 04043

57 Portland Rd
Ste 5
Kennebunk, ME 04043
Phone (207) 467-3777

57 Portland Rd
Ste 6
Kennebunk, ME 04043

Organizations & group practices 3

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.

Hospital & facility affiliations 37

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

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545091200000",
    "number": "1881672988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 PORTLAND ROAD",
            "address_2": "SUITE 5",
            "city": "KENNEBUNK",
            "state": "ME",
            "postal_code": "040436031",
            "telephone_number": "207-467-3777",
            "fax_number": "888-312-0662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 PORTLAND ROAD",
            "address_2": "SUITE 5",
            "city": "KENNEBUNK",
            "state": "ME",
            "postal_code": "04043",
            "telephone_number": "207-467-3777",
            "fax_number": "888-312-0662"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "45 Washington St",
            "address_2": "Suite 6",
            "address_purpose": "LOCATION",
            "city": "Conway",
            "state": "NH",
            "postal_code": "038186031",
            "country_code": "US",
            "telephone_number": "603-986-6430",
            "fax_number": "888-312-0662",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUPREY",
        "first_name": "PATTI",
        "middle_name": "L.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-09",
        "last_updated": "2018-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "032355-23",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP121019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30010058",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennebunk, ME

Sources for this page

Verify at the official NPI Registry.