NPIMap

Individual provider Active NPI

Olivia Mattice Hatch

  • Primary Care Nurse Practitioner
  • Porter, ME
National Provider Identifier
1972205185
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
CNP251044 Issued in ME
Practice address
70 Main St
Porter, ME 04068-3527
Phone
(207) 625-8126
NPI assigned
Mar 21, 2023
Last updated
Apr 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 084800-23 NH
Registered Nurse 163W00000X 084800-21 NH
Primary Care Nurse Practitioner 363LP2300X CNP251044 ME Primary

Addresses

Primary practice location

70 Main St
Porter, ME 04068-3527

Mailing address

49 Mount Vernon St Unit C
Dover, NH 03820-3030
Phone (434) 987-7938

Other practice location 1

155 Borthwick Ave Ste 202W
Portsmouth, NH 03801-7119
Phone (603) 433-8434

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, ME2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230906002709 NH Practitioner - Nurse Practitioner 4789048984
I20250616002014 ME Practitioner - Nurse Practitioner 4789048984 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sacopee Valley Health CenterGroup PAC ID 5597664854, 19 clinicians

Practice addresses (Care Compare)

70 Main St
Porter, ME 04068-3527
Phone (207) 625-8126

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
084800-21NHMDRegistered Nurse
CNP251044MEMDPrimary Care Nurse Practitioner
084800-23NHMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sacopee Valley Health Center CurrentSince Mar 31, 2025 Accepting new patients
Sacopee Valley Health Center CurrentSince Mar 31, 2025 Accepting new patients
Appledore Medical Group, Inc. PastSince Mar 1, 2023 Accepting new patients
Appledore Medical Group, Inc. PastSince Mar 1, 2023 Accepting new patients

Locations

70 Main St
Porter, ME 04068
Phone (207) 625-8126

Interoperability endpoints

  • Direct secure messaging: olivia.hatch.p1@direct.svhc.nextgenshare.com

Organizations & group practices 4

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 40

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

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1679356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1972205185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 MOUNT VERNON ST UNIT C",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038203030",
            "telephone_number": "434-987-7938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 MAIN ST",
            "city": "PORTER",
            "state": "ME",
            "postal_code": "040683527",
            "telephone_number": "207-625-8126"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "155 Borthwick Ave Ste 202W",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "NH",
            "postal_code": "038017119",
            "country_code": "US",
            "telephone_number": "603-433-8434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HATCH",
        "first_name": "OLIVIA",
        "middle_name": "MATTICE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-21",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NH",
            "license": "084800-23",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NH",
            "license": "084800-21",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "ME",
            "license": "CNP251044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Porter, ME

Sources for this page

Verify at the official NPI Registry.