Individual provider Active NPI

McKenzie L Hinshaw, N.P.

  • Family Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1124388103
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95030629 Issued in CA
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

Updated by the provider on Jul 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
201066380MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, TX, CA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20130812000034 IN Practitioner - Nurse Practitioner 9638311228 Reassigns benefits to 1 organization
I20241107000233 TX Practitioner - Nurse Practitioner 9638311228 Reassigns benefits to 2 organizations
I20250725003021 CA Practitioner - Nurse Practitioner 9638311228 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
363L00000XINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New Life Health Authority CurrentSince Nov 18, 2024 Accepting new patients
JWCH Institute Inc Current Accepting new patients
JWCH Institute, Inc CurrentSince Jul 14, 2025 Accepting new patients
JWCH Institute Inc CurrentSince Jul 14, 2025 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.