Individual provider Active NPI

Jennifer Elbel Hill

  • Family Nurse Practitioner
  • Irvine, CA
National Provider Identifier
1922613702
Registry record updated Jan 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95015582 Issued in CA
Practice address
16100 Sand Canyon Ave Ste 130
Irvine, CA 92618-3722
Phone
(949) 417-1100
NPI assigned
Sep 9, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95015582 CA Primary

Addresses

Primary practice location

16100 Sand Canyon Ave Ste 130
Irvine, CA 92618-3722

Mailing address

16100 Sand Canyon Ave Ste 130
Irvine, CA 92618-3722
Phone (949) 417-1100

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
I20210617000334 CA Practitioner - Nurse Practitioner 9234539990 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95015582CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kenneth M Tokita MD Inc CurrentSince Mar 12, 2021 Accepting new patients

Locations

16100 Sand Canyon Ave
Ste 130
Irvine, CA 92618
Phone (949) 417-1100

Organizations & group practices 1

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": "1599609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673827200000",
    "number": "1922613702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16100 SAND CANYON AVE STE 130",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183722",
            "telephone_number": "949-417-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16100 SAND CANYON AVE STE 130",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183722",
            "telephone_number": "949-417-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "JENNIFER",
        "middle_name": "ELBEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-09",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95015582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.