KATRINA STEPHANIE HACKER PHD
NPI 1104604495
Psychologist - Clinical in Lebanon, NH
About Katrina Stephanie Hacker Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATRINA STEPHANIE HACKER PHD (NPI 1104604495) is an individual clinical provider in Lebanon, New Hampshire, licensed in New Hampshire (1672) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS, is affiliated with Mary Hitchcock Memorial Hospital, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Katrina Stephanie Hacker Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Katrina Hacker reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lebanon, NH 03756
- Reassigned Medicare billing, New Hampshire enrollment
- 2,620 clinicians in this Medicare group
Lebanon, NH 03756
- Reassigned Medicare billing, New Hampshire enrollment
- 2,999 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mary Hitchcock Memorial Hospital
Acute Care Hospitals · Lebanon, NHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 03756 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LEBANON, NH 03756
LEBANON, NH 03756
LEBANON, NH 03756
LEBANON, NH 03756
LEBANON, NH 03756
LEBANON, NH 03756
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Katrina Hacker's NPI number?
The NPI number for Katrina Hacker is 1104604495. It was assigned to this individual provider in the NPPES registry on September 18, 2023.
Where is Katrina Hacker located?
Katrina Hacker practices at 1 Medical Center Dr, Lebanon, NH 03756. The listed phone number is (603) 650-7075.
What is Katrina Hacker's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Katrina Hacker enrolled in Medicare?
Yes. Katrina Hacker is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Katrina Hacker's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Katrina Hacker reassigns Medicare benefits to 2 organizations: Mary Hitchcock Memorial Hospital (Lebanon, NH) and Dartmouth-Hitchcock Clinic (Lebanon, NH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Katrina Hacker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Katrina Hacker accept?
Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Katrina Hacker as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Katrina Hacker affiliated with any hospitals?
According to CMS data, Katrina Hacker is affiliated with Mary Hitchcock Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Katrina Hacker was last updated on December 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Katrina Stephanie Hacker, PHD · NPI 1104604495
Clinical provider in Lebanon, New Hampshire. Individual provider, active in the CMS NPPES registry since September 18, 2023.
## Identity
- **NPI:** 1104604495 (Entity type: Individual)
- **Enumerated:** September 18, 2023
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** 1672 (New Hampshire)
- **Sole proprietor:** No
## Practice location
- **Address:** 1 MEDICAL CENTER DR, Lebanon, NH 03756-1000
- **Phone:** (603) 650-7075 · **Fax:** (603) 640-1228
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Mary Hitchcock Memorial Hospital (NPI 1629788237, Lebanon, NH); Dartmouth-Hitchcock Clinic (NPI 1548210198, Lebanon, NH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** December 12, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1104604495) · Data from the CMS NPPES public registry.