Vincent Lee Huntley, APRN
Individual provider Active NPI Family Nurse Practitioner · Crescent City, CA
NPI 1831066299 · NPPES record last updated Oct 21, 2025
Key facts
- NPI
- 1831066299
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 95037331 (CA)
- Practice address
- 780 E Washington Blvd
Crescent City, CA 95531-8397 - Phone
- (707) 464-6715
- Fax
- (707) 465-0870
- NPI assigned
- Oct 21, 2025
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Sutter Coast Hospital
Practice addresses (Care Compare)
780 E Washington Blvd
Crescent City, CA 95531-8397
Phone (707) 464-6715
Hospital & facility affiliations
- Sutter Coast Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251231003486 | CA | Practitioner - Nurse Practitioner | 0840786521 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95037331 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter Coast Hospital | Current |
Accepting new patients |
Locations
780 E Washington Blvd
Crescent City, CA 95531
Phone (707) 464-5974
800 E Washington Blvd
Crescent City, CA 95531
Phone (707) 464-8511
Interoperability endpoints
- vhuntley765433@hisp.ehr.sutterhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95037331 | CA | Yes |
Addresses
Primary practice location
780 E Washington Blvd
Crescent City, CA 95531-8397
Mailing address
780 E Washington Blvd
Crescent City, CA 95531-8397
Phone (707) 464-6715
Other providers in Crescent City, CA
- Lawrence Holbert
- Laneda Joyce Hope
- John Michael Horner
- Alfred J Howe
- Deborah Lee Hunt
- Amelia Hutchings
- Insat Telemed Corporation a Professional Corporation
- Katrina Larie Jackson
- Tameka Jackson
- Aimee Jacot
All providers in Crescent City, CA · Family Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.