Olivia Mattice Hatch
Individual provider Active NPI Primary Care Nurse Practitioner · Porter, ME
NPI 1972205185 · NPPES record last updated Apr 3, 2025
Key facts
- NPI
- 1972205185
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Primary Care Nurse Practitioner 363LP2300X
- License
- CNP251044 (ME)
- Practice address
- 70 Main St
Porter, ME 04068-3527 - Phone
- (207) 625-8126
- NPI assigned
- Mar 21, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 40
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sacopee Valley Health Center
Practice addresses (Care Compare)
70 Main St
Porter, ME 04068-3527
Phone (207) 625-8126
Hospital & facility affiliations
- Portsmouth Regional Hospital
- Mainehealth Maine Medical Center
- Northern Light Mercy Hospital
- Bridgton Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NH, ME
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230906002709 | NH | Practitioner - Nurse Practitioner | 4789048984 | |
| I20250616002014 | ME | Practitioner - Nurse Practitioner | 4789048984 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 084800-21 | NH | MD | Registered Nurse |
| CNP251044 | ME | MD | Primary Care Nurse Practitioner |
| 084800-23 | NH | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sacopee Valley Health Center | Current |
Accepting new patients | |
| Sacopee Valley Health Center | Current |
Accepting new patients | |
| Appledore Medical Group, Inc. | Past |
Accepting new patients | |
| Appledore Medical Group, Inc. | Past |
Accepting new patients |
Locations
70 Main St
Porter, ME 04068
Phone (207) 625-8126
Interoperability endpoints
- olivia.hatch.p1@direct.svhc.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 084800-23 | NH | |
| Registered Nurse | 163W00000X | 084800-21 | NH | |
| Primary Care Nurse Practitioner | 363LP2300X | CNP251044 | ME | Yes |
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
Other providers in Porter, ME
- Jeri Lynn Dudics
- Catherine M Duthie
- Haylie Priscilla Genoa
- Gregory Griffin
- Benjamin Edward Harwood
- Eileen M Kindl
- Christopher Todd Kitchens
- Jeffrey Scott Krebs
- Kristina Marie Lauderback
- Ariel Lemont
All providers in Porter, ME · Primary Care Nurse Practitioner in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 3, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.