NPIMap

Individual provider Active NPI

Jennifer Darlene Hayhurst, P.A.-C.

  • Physician Assistant
  • Redlands, CA
National Provider Identifier
1649664079
Registry record updated Oct 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA52146 Issued in CA
Practice address
1845 W Redlands Blvd Ste 104
Redlands, CA 92373-3125
Phone
(909) 551-3376
Fax
(909) 363-9895
NPI assigned
Mar 24, 2015
Last updated
Oct 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA52146 CA Primary

Addresses

Primary practice location

1845 W Redlands Blvd Ste 104
Redlands, CA 92373-3125

Mailing address

1340 Morrison Dr
Redlands, CA 92374-5445
Phone (909) 551-3376

Other practice location 1

17 S 5th St Ste D
Redlands, CA 92373-4737
Phone (909) 551-3376

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160915002244 CA Practitioner - Physician Assistant 8022304187 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1467 Ford St
Suite 101
Redlands, CA 92373-3911
Phone (909) 551-3376

17 S 5TH St
Suite D
Redlands, CA 92373-4737
Phone (909) 551-3376

Merit-based Incentive Payment System (MIPS)

Final score
77.33 of 100Reported as group
Quality
54.66
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA52146CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
K. D. Macknet, M.D., Inc. CurrentSince Jan 1, 2006 Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince Sep 1, 2016 Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince Sep 1, 2016 Accepting new patients
Redlands Community Hospital Past Accepting new patients
Loma Linda University Medical Center Past Accepting new patients
Hi-Desert Medical Center Past Accepting new patients
Bradley Mudge MD Inc Past Accepting new patients
San Gorgonio Memorial Hospital Past Accepting new patients
Todd C Rau MD Inc PastSince Jul 25, 2021 Accepting new patients
Dignity Health Past Accepting new patients

Locations

1620 E Second St
Ste N
Beaumont, CA 92223
Phone (951) 845-6500

11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848

11370 Anderson St
Ste 2600
Loma Linda, CA 92354
Phone (909) 558-2890

25815 Barton Rd
Ste 101
Loma Linda, CA 92354
Phone (909) 796-0224

File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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": "1427155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791849600000",
    "number": "1649664079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 MORRISON DR",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923745445",
            "telephone_number": "909-551-3376",
            "fax_number": "909-363-9895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 W REDLANDS BLVD STE 104",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923733125",
            "telephone_number": "909-551-3376",
            "fax_number": "909-363-9895"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17 S 5th St Ste D",
            "address_purpose": "LOCATION",
            "city": "Redlands",
            "state": "CA",
            "postal_code": "923734737",
            "country_code": "US",
            "telephone_number": "909-551-3376",
            "fax_number": "909-363-9895",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAYHURST",
        "first_name": "JENNIFER",
        "middle_name": "DARLENE",
        "name_prefix": "Mrs.",
        "credential": "P.A.-C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-24",
        "last_updated": "2026-10-13",
        "certification_date": "2026-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA52146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redlands, CA

Sources for this page

Verify at the official NPI Registry.