CMS-1500 Box 24J / 33a • NPI
1972205185
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
363LP2300X (CMS 50)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Primary Care
Box 32 Service Location & ZIP+4
70 MAIN ST, PORTER, ME, 04068-3527
✓ 9-Digit EDI 837 ZIP+4 (04068-3527)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1972205185 (OLIVIA MATTICE HATCH) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
✓ Eligible
Hospice Referring
No
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1972205185)
Medicare Beneficiaries
238
Total Billed Services
600
Distinct CPT/HCPCS Codes
27
Medicare Allowed Total
$44,096.50
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
81003 | Automated urinalysis test | 21 |
83036 | Hemoglobin a1c level | 21 |
99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 31 |
99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 195 |
99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 199 |
G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 48 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Albuterol Sulfate Hfa Albuterol Sulfate | 28 | 15 |
| Allopurinol Allopurinol | 20 | <11 |
| Alprazolam Alprazolam | 20 | <11 |
| Amlodipine Besylate Amlodipine Besylate | 97 | 32 |
| Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav | 17 | 15 |
| Atenolol Atenolol | 29 | <11 |
| Atorvastatin Calcium Atorvastatin Calcium | 116 | 43 |
| Azithromycin Azithromycin | 12 | <11 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1972205185 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | OLIVIA MATTICE HATCH |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Primary Care NUCC Code: 363LP2300X (Nurse Practitioner, Primary Care) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 70 MAIN ST, PORTER, ME, 04068-3527 |
| Practice Telephone / Fax | Tel: (207) 625-8126 |
| Administrative Mailing Address | 49 MOUNT VERNON ST UNIT C, DOVER, NH, 03820-3030 |
| Enumeration & Last Sync | Enumerated: 2023-03-21 | CMS Record Updated: 2025-04-03 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (363LP2300X)
What Does Taxonomy Code 363LP2300X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363LP2300X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Primary Care"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (OLIVIA MATTICE HATCH)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
363LP2300X — Nurse Practitioner, Primary CarePlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Primary Care | State: NH | License: 084800-23 | Primary: Secondary |
163W00000X — Registered NursePlain English: Licensed & Credentialed Registered Nurse | State: NH | License: 084800-21 | Primary: Secondary |
363LP2300X — Nurse Practitioner, Primary CarePlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Primary Care | State: ME | License: CNP251044 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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