NPIMap

Individual provider Active NPI

Melissa C Hackett, FNP

  • Family Nurse Practitioner
  • Richmond, ME
National Provider Identifier
1902170392
Registry record updated Nov 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP121011 Issued in ME
Practice address
24 Gardiner St
Richmond, ME 04357
Phone
(207) 737-4359
Fax
(207) 737-4412
NPI assigned
Mar 2, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2015

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 AP121011 ME Primary

Addresses

Primary practice location

24 Gardiner St
Richmond, ME 04357

Mailing address

24 Gardiner St
Richmond, ME 04357
Phone (207) 737-4359

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
I20120514000341 ME Practitioner - Nurse Practitioner 4880857747 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthreach Community Health Centers 87 clinicians

Practice addresses (Care Compare)

24 Gardiner St
Richmond, ME 04357-1336
Phone (207) 737-4359

4 Clement Way
Belgrade, ME 04917-4370
Phone (207) 660-9924

Hospital & facility affiliations

  • Maine General Medical Center Hospital, Augusta, ME, CCN 200039
  • Mainehealth Mid Coast Hospital Hospital, Brunswick, ME, CCN 200021
  • Central Maine Medical Center Hospital, Lewiston, ME, CCN 200024

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP121011MEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthreach Community Health Centers CurrentSince Nov 9, 2015 Accepting new patients
Healthreach Community Health Centers CurrentSince Nov 9, 2015 Accepting new patients
Healthreach Community Health Centers CurrentSince Jan 30, 2025 Accepting new patients
Healthreach Community Health Centers Past Accepting new patients

Locations

4 Clement Way
Belgrade, ME 04917
Phone (207) 660-9924

24 Gardiner St
Richmond, ME 04357
Phone (207) 727-4359

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1330646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446595200000",
    "number": "1902170392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 GARDINER ST",
            "city": "RICHMOND",
            "state": "ME",
            "postal_code": "04357",
            "telephone_number": "207-737-4359",
            "fax_number": "207-737-4412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 GARDINER ST",
            "city": "RICHMOND",
            "state": "ME",
            "postal_code": "04357",
            "telephone_number": "207-737-4359",
            "fax_number": "207-737-4412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HACKETT",
        "first_name": "MELISSA",
        "middle_name": "C",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-02",
        "last_updated": "2015-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "AP121011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, ME

Sources for this page

Verify at the official NPI Registry.