Individual provider Active NPI

Jennifer Hurley, CNM, NP-C

  • Nurse Practitioner
  • San Francisco, CA
National Provider Identifier
1588183099
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95008010 Issued in CA
Practice address
Bella Health and Wellness Inc
2000 Van Ness, Suite 304
San Francisco, CA 94109
Phone
(415) 775-1500
NPI assigned
Sep 15, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 235898 CA
Nurse Practitioner 363L00000X 95008010 CA Primary

Addresses

Primary practice location

Bella Health and Wellness Inc
2000 Van Ness, Suite 304
San Francisco, CA 94109

Mailing address

1161 Banyan Way
Pacifica, CA 94044-4343
Phone (650) 580-0035

Other practice location 1

583 Summerfield Rd
Santa Rosa, CA 95405-5239
Phone (707) 539-1544

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20191107002964 CA Practitioner - Nurse Practitioner 7618309998

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
95008010CAMDNurse Practitioner
235898CAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Advocates for Women'S Health, Inc. Past Accepting new patients
St. Joseph Health Northern California, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jennifer.hurley.1@25511.direct.athenahealth.com

Organizations & group practices 2

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": "1505433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1588183099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1161 BANYAN WAY",
            "city": "PACIFICA",
            "state": "CA",
            "postal_code": "940444343",
            "telephone_number": "650-580-0035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BELLA HEALTH AND WELLNESS INC",
            "address_2": "2000 VAN NESS, SUITE 304",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94109",
            "telephone_number": "415-775-1500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "583 Summerfield Rd",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954055239",
            "country_code": "US",
            "telephone_number": "707-539-1544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HURLEY",
        "first_name": "JENNIFER",
        "credential": "CNM, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-15",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CA",
            "license": "235898",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95008010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.