Active NPI
Justin Daniel Hutchins, AGACNP
- Acute Care Nurse Practitioner
- Yuma, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- PENDING
- Practice address
- 2400 S Avenue a
Yuma, AZ 85364-7170 - Phone
- (928) 336-2400
- NPI assigned
- Sep 30, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | PENDING | AZ | Primary |
Addresses
Primary practice location
2400 S Avenue a
Yuma, AZ 85364-7170
Mailing address
3851 W 36TH St
Yuma, AZ 85365-7978
Phone (928) 304-9480
Other practice location 1
3851 W 36th St
Yuma, AZ 85365-7978
Phone (928) 304-9480
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230419002006 | AZ | Practitioner - Nurse Practitioner | 7517332802 | Reassigns benefits to 5 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2400 S Ave a
Yuma, AZ 85364-7127
Phone (954) 939-5000
Hospital & facility affiliations
- Yuma Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PENDING | AZ | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Exceptional Physicians Group Bullhead City Hospital PLLC | Current | Accepting new patients | |
| Exceptional Physicians Group Arizona PLLC | Current | Accepting new patients | |
| Arizona Em-I Medical Services PC | Nurse Practitioner | Current | Accepting new patients |
| Exceptional Physicians Group Yuma Hospital PLLC | Current | Accepting new patients | |
| Exceptional Physicians Group Prescott Hospital PLLC | Current | Accepting new patients | |
| Harborcove Health | Current | Accepting new patients | |
| Yuma Regional Medical Center | Past | Accepting new patients | |
| Exceptional Health Care Bullhead City LLC | Past | Accepting new patients | |
| Exceptional Health Care Prescott LLC | Past | Accepting new patients |
Locations
2365 Highway 95
Bullhead City, AZ 86442
Phone (928) 224-2443
269 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-2251
19060 N John Wayne Pkwy
Maricopa, AZ 85139
Phone (480) 631-0675
4822 E State Route 69
Prescott, AZ 86301
Phone (436) 341-7800
11351 S Frontage Rd
Yuma, AZ 85367
Phone (928) 336-2000
2400 S Avenue A
Yuma, AZ 85364
Phone (928) 336-7100
2648 S Araby Rd
Yuma, AZ 85365
Phone 4693417800100
3514 Cedar Springs Rd
Dallas, TX 75219
Phone (281) 415-6687
Organizations & group practices 9
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.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Maricopa, AZ
- NPI 1447910229
AZ
-
- Emergency Medical Services (Emergency Medicine) Physician
- Bullhead City, AZ
- NPI 1518732023
AZ
-
- Emergency Medical Services (Emergency Medicine) Physician
- Prescott, AZ
- NPI 1720807670
AZ
-
- Emergency Medicine Physician
- Yuma, AZ
- NPI 1235857699
AZ
-
- Medical Specialty Clinic/Center
- Yuma, AZ
- NPI 1801737903
-
- Special Hospital
- Bullhead City, AZ
- NPI 1750092110
-
- Special Hospital
- Prescott, AZ
- NPI 1396452108
-
- General Acute Care Hospital
- Yuma, AZ
- NPI 1194706655
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702425600000",
"number": "1558085787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3851 W 36TH ST",
"city": "YUMA",
"state": "AZ",
"postal_code": "853657978",
"telephone_number": "928-304-9480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 S AVENUE A",
"city": "YUMA",
"state": "AZ",
"postal_code": "853647170",
"telephone_number": "928-336-2400"
}
],
"practiceLocations": [
{
"address_1": "3851 W 36th St",
"address_purpose": "LOCATION",
"city": "Yuma",
"state": "AZ",
"postal_code": "853657978",
"country_code": "US",
"telephone_number": "928-304-9480",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUTCHINS",
"first_name": "JUSTIN",
"middle_name": "DANIEL",
"credential": "AGACNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-09-30",
"last_updated": "2023-12-13",
"certification_date": "2023-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "AZ",
"license": "PENDING",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yuma, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.