Individual provider Active NPI

Jai Laitinen, FNP-BC

  • Family Nurse Practitioner
  • Murrieta, CA
National Provider Identifier
1225547458
Registry record updated Nov 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95007420 Issued in CA
Practice address
20311 Stone PT
Murrieta, CA 92562-8668
Phone
(951) 813-8767
NPI assigned
Sep 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Registered Nurse 163WE0003X 836069 CA
Nurse Practitioner 363L00000X AP136060 TX
Family Nurse Practitioner 363LF0000X 95007420 CA Primary

Addresses

Primary practice location

20311 Stone PT
Murrieta, CA 92562-8668

Mailing address

20311 Stone PT
Murrieta, CA 92562-8668
Phone (951) 813-8767

Other names 1

  • Jie Chen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20180110000836 TX Practitioner - Nurse Practitioner 6507125994 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Acs Primary Care Physicians Southwest PAGroup PAC ID 1850204363, 188 clinicians
North Runnels County HospitalGroup PAC ID 6507757812, shared by 4 NPIs, 11 clinicians

Practice addresses (Care Compare)

6250 US Hwy 83
Abilene, TX 79606-5215
Phone (325) 428-1000

7571 State Hwy 153
Winters, TX 79567-7439
Phone 3257541500519

Hospital & facility affiliations

  • North Runnels Hospital Hospital, Winters, TX, CCN 451315

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
836069CAMDEmergency Registered Nurse
AP136060TXMDNurse Practitioner
95007420CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Midland Emergency Managers PLLC CurrentSince Feb 7, 2023 Accepting new patients
Odessa Physician Associates, PLLC Nurse Practitioner CurrentSince Oct 28, 2022 Accepting new patients
Acs Primary Care Physicians Southwest, PA Nurse Practitioner CurrentSince May 1, 2022 Accepting new patients

Locations

6250 US Highway 83
Abilene, TX 79606
Phone (325) 428-1010

110 Memorial Hospital Dr
Huntsville, TX 77340
Phone (936) 291-4276

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

400 Rosalind Redfern Grover Pkwy
Midland, TX 79701
Phone (432) 221-4850

900 E 4th St
Odessa, TX 79761
Phone (432) 362-9900

520 E 6th St
Odessa, TX 79761
Phone (432) 332-0929

3501 Knickerbocker Rd
San Angelo, TX 76904
Phone (325) 947-6361

Organizations & group practices 3

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": "1505865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669766400000",
    "number": "1225547458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20311 STONE PT",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925628668",
            "telephone_number": "951-813-8767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20311 STONE PT",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925628668",
            "telephone_number": "951-813-8767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAITINEN",
        "first_name": "JAI",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-20",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "CA",
            "license": "836069",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP136060",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95007420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JIE",
            "last_name": "CHEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Murrieta, CA

Sources for this page

Verify at the official NPI Registry.