Individual provider Active NPI

Jessica Mae Hurlocker, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Billings, MT
National Provider Identifier
1073229076
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
NUR-APRN-LIC-212163 Issued in MT
Practice address
2110 Overland Ave Ste 119B
Billings, MT 59102-6440
Phone
(406) 208-3450
NPI assigned
Jan 24, 2023
Last updated
Jan 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NUR-APRN-LIC-212163 MT Primary

Addresses

Primary practice location

2110 Overland Ave Ste 119B
Billings, MT 59102-6440

Mailing address

1116 Lost View Dr
Billings, MT 59105-5338
Phone (406) 794-4942

Other names 1

  • Jessica Mae Wagner Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230913001942 MT Practitioner - Nurse Practitioner 1557725298 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Beginner's Mind Mental Health Services PLLCGroup PAC ID 5597124636, 2 clinicians

Practice addresses (Care Compare)

2110 Overland Ave
Suite 119B
Billings, MT 59102-6440
Phone (406) 208-3450

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NUR-APRN-LIC-212163MTMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Beginners Mind Mental Health Services PLLC CurrentSince Jun 29, 2024 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

2110 Overland Ave
Ste 119B
Billings, MT 59102
Phone (406) 208-3450

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1674518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1073229076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1116 LOST VIEW DR",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591055338",
            "telephone_number": "406-794-4942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 OVERLAND AVE STE 119B",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591026440",
            "telephone_number": "406-208-3450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURLOCKER",
        "first_name": "JESSICA",
        "middle_name": "MAE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-24",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MT",
            "license": "NUR-APRN-LIC-212163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "WAGNER",
            "middle_name": "MAE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Billings, MT

Sources for this page

Verify at the official NPI Registry.