Jacquelyn Hutchings, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

201809553NP-PP Issued in OR

Practice address

1619 NW Hawthorne Ave Ste 204
Grants Pass, OR 97526-6009

Phone

(541) 916-8530

Fax

(541) 916-8533

NPI assigned

Oct 18, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  OR

  Medicare reassignment NPD

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

{
    "created_epoch": "1539820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571184000000",
    "number": "1619443587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 SE N ST APT 202D",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975264095",
            "telephone_number": "541-941-2608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 NW HAWTHORNE AVE STE 204",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975266009",
            "telephone_number": "541-916-8530",
            "fax_number": "541-916-8533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTCHINGS",
        "first_name": "JACQUELYN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-18",
        "last_updated": "2019-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201809553NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Hunter
• Jeannette L Hurley, LMFT
• Roxanne Kathleen Hurst
• Arthur Andrew Husband
• Delmar Hussey
• Mary Jo Hutchinson, RN
• Scott Matthew Hyde, LCSW
• Kimberly Jean Ibarra
• Andrea M Igl
• Amber Ihander, PA-C

• Family Nurse Practitioner in Grants Pass, OR
• Providers in Grants Pass, OR by specialty
• Family Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.