Active NPI
McKenzie L Hinshaw, N.P.
- Family Nurse Practitioner
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95030629
- Practice address
- 442 S Crocker Street
Los Angeles, CA 90013 - Phone
- (866) 733-5924
- NPI assigned
- May 23, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 363L00000X | IN | |
| Family Nurse Practitioner | 363LF0000X | 95030629 | CA | Primary |
Addresses
Primary practice location
442 S Crocker Street
Los Angeles, CA 90013
Mailing address
1240 Sunrise VW Unit 103
San Marcos, CA 92078-1355
Phone (260) 525-0332
Other practice location 1
2005 N Walnut St
Hartford City, IN 47348-1365
Phone (765) 348-1100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201066380 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, TX, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 363L00000X | IN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Life Health Authority | Current | Accepting new patients | |
| JWCH Institute Inc | Current | Accepting new patients | |
| JWCH Institute, Inc | Current | Accepting new patients | |
| JWCH Institute Inc | Current | Accepting new patients |
Locations
5650 Jillson St
Commerce, CA 90040
Phone (213) 484-1186
522 S San Pedro St
Los Angeles, CA 90013
Phone (213) 486-4085
12360 Firestone Blvd
Norwalk, CA 90650
Phone (562) 281-0305
6650 Gunpark Dr
Ste 100
Boulder, CO 80301
Interoperability endpoints
- mkenzie.hinshaw.p1@direct.jwch.nextgenshare.com
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Los Angeles, CA
- NPI 1407808058
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Tacoma, WA
- NPI 1992582613
TX
-
- Adult Mental Health Clinic/Center
- Lawrenceburg, IN
- NPI 1891102497
-
- Federally Qualified Health Center (FQHC)
- Lancaster, CA
- NPI 1073209177
-
- Federally Qualified Health Center (FQHC)
- Downey, CA
- NPI 1770988370
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Ukiah, CA
- NPI 1104435734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753142400000",
"number": "1124388103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1240 SUNRISE VW UNIT 103",
"city": "SAN MARCOS",
"state": "CA",
"postal_code": "920781355",
"telephone_number": "260-525-0332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "442 S CROCKER STREET",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90013",
"telephone_number": "866-733-5924"
}
],
"practiceLocations": [
{
"address_1": "2005 N Walnut St",
"address_purpose": "LOCATION",
"city": "Hartford City",
"state": "IN",
"postal_code": "473481365",
"country_code": "US",
"telephone_number": "765-348-1100",
"fax_number": "765-348-9717",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HINSHAW",
"first_name": "MCKENZIE",
"middle_name": "L",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-23",
"last_updated": "2025-07-22",
"certification_date": "2025-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "363L00000X",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95030629",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201066380",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.