Individual provider Active NPI

Jaye Lorine Hurtin, FNP-BC

  • Nurse Practitioner
  • Wellton, AZ
National Provider Identifier
1376205591
Registry record updated Aug 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
270896 Issued in AZ
Practice address
10425 Williams St
Wellton, AZ 85356
Phone
(928) 785-3256
Fax
(928) 785-3258
NPI assigned
Oct 6, 2021
Last updated
Aug 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X STUDENT FL
Nurse Practitioner 363L00000X 270896 AZ Primary

Addresses

Primary practice location

10425 Williams St
Wellton, AZ 85356

Mailing address

2060 W 24TH St
Yuma, AZ 85364-6123
Phone (928) 819-8834

Other practice location 1

2385 4th Ln SW
Vero Beach, FL 32962-3349
Phone (772) 713-5154

Other practice location 2

1233 N Main St Ste 1A
San Luis, AZ 85336-0663
Phone (928) 550-5514

Other practice location 3

151 S Oak Ave Ste 7
San Luis, AZ 85336-0756
Phone (928) 366-5166

Other identifiers 1

IdentifierTypeStateIssuer
124179MedicaidAZ

Other names 1

  • Jaye Lorine Hurtin-Leazott Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20220520002269 AZ Practitioner - Nurse Practitioner 0749328607 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
STUDENTFLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nextcare Arizona LLC Single Specialty CurrentSince Oct 10, 2022 Accepting new patients
Health Diagnostics of California a Professional Corporation Single Specialty CurrentSince Apr 27, 2022 Accepting new patients
Nextcare Arizona I JV LLC Single Specialty Current Accepting new patients
San Luis Walk-in Clinic, Inc. CurrentSince Dec 1, 2022 Accepting new patients
Sunset Community Health Center Inc Single Specialty CurrentSince Aug 23, 2023 Accepting new patients
Simonmed Imaging Florida LLC Single Specialty CurrentSince Feb 15, 2022 Accepting new patients
Smi Imaging LLC CurrentSince Feb 15, 2022 Accepting new patients
Sunset Community Health Center Inc CurrentSince Aug 23, 2023 Accepting new patients
Sunset Community Health Center Inc Single Specialty Current Accepting new patients
Smi Imaging, LLC Single Specialty CurrentSince Feb 15, 2022 Accepting new patients
San Luis Walk-in Clinic, Inc. Past Accepting new patients
Sunset Community Health Center Inc PastSince Dec 7, 2025 Accepting new patients
Health Diagnostics of California LLC Single Specialty Past Accepting new patients

Locations

2080 W Southern Ave
Bldg A1
Apache Junction, AZ 85120
Phone (480) 985-0172

2080 W Southern Ave
Bldg C
Apache Junction, AZ 85120
Phone (480) 474-5960

450 S Willard St
Ste 120
Cottonwood, AZ 86326
Phone (928) 634-2574

1000 N Humphreys St
Ste 104
Flagstaff, AZ 86001
Phone (928) 779-3844

5410 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 530-6189

5410 W Thunderbird Rd
Ste 221
Glendale, AZ 85306
Phone (602) 682-5000

1111 S Dobson Rd
Ste 105
Mesa, AZ 85202
Phone (480) 964-4995

601 W Riverside Dr
Ste 4
Parker, AZ 85344
Phone (928) 256-4110

20414 N 27th Ave
Ste 150
Phoenix, AZ 85027
Phone (623) 234-2520

914 N Scottsdale Rd
Ste 104
Tempe, AZ 85288
Phone (480) 776-1620

1845 W Orange Grove Rd
Ste 103
Tucson, AZ 85704
Phone (520) 230-4900

9525 E Old Spanish Trl
Ste 101
Tucson, AZ 85748
Phone (520) 731-3666

1394 W 16th St
Yuma, AZ 85364
Phone (928) 539-0055

2060 W 24th St
Yuma, AZ 85364
Phone (928) 344-4216

675 S Avenue B
Yuma, AZ 85364
Phone (928) 539-3140

675 S Avenue B
Bldg A
Yuma, AZ 85364
Phone (928) 539-3140

455 Hickey Blvd
Ste 200
Daly City, CA 94015
Phone (650) 757-2030

14302 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 975-1111

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11823/brand/2/csg/41/fhir/r4
  • Direct secure messaging: jayelorine.hurtin.p1@direct.sunset.nextgenshare.com

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1633478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692921600000",
    "number": "1376205591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2060 W 24TH ST",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853646123",
            "telephone_number": "928-819-8834",
            "fax_number": "928-539-5579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10425 WILLIAMS ST",
            "city": "WELLTON",
            "state": "AZ",
            "postal_code": "85356",
            "telephone_number": "928-785-3256",
            "fax_number": "928-785-3258"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2385 4th Ln SW",
            "address_purpose": "LOCATION",
            "city": "Vero Beach",
            "state": "FL",
            "postal_code": "329623349",
            "country_code": "US",
            "telephone_number": "772-713-5154",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1233 N Main St Ste 1A",
            "address_purpose": "LOCATION",
            "city": "San Luis",
            "state": "AZ",
            "postal_code": "853360663",
            "country_code": "US",
            "telephone_number": "928-550-5514",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "151 S Oak Ave Ste 7",
            "address_purpose": "LOCATION",
            "city": "San Luis",
            "state": "AZ",
            "postal_code": "853360756",
            "country_code": "US",
            "telephone_number": "928-366-5166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HURTIN",
        "first_name": "JAYE",
        "middle_name": "LORINE",
        "name_prefix": "Ms.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-06",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "STUDENT",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "270896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124179",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAYE",
            "last_name": "HURTIN-LEAZOTT",
            "middle_name": "LORINE",
            "credential": "APRN, FNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wellton, AZ

Sources for this page

Verify at the official NPI Registry.