NICOLE HURTADO (PA-C) – Family Medicine Physician, NPI 1396399747

NICOLE HURTADO (PA-C) is a healthcare provider. based in Beverly, Massachusetts. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA102306 (MA). The NPI Number for NICOLE HURTADO (PA-C) is 1396399747

Main info

Female
7 Years Of Experience
Name
NICOLE HURTADO (PA-C)
NPI
1396399747
Phone
(978) 927-7727
Address
30 Tozer Rd Ste 202
Enumeration Date
24 July 2019
Last Update Date
13 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2012676600
Graduation Year
2019 (7 years ago)
PAC ID
8628309291
Group Practice PAC ID
5092954602
Professional Enrollment ID
I20210315000032
Address ID
NJ076481358NO521XXSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness85
Years active:6State licenses:2Digital endpointsOther names

5,093 PHYSICIAN ASSISTANT in MA

Provider Addresses for NICOLE HURTADO (PA-C)

  • 30 Tozer Rd Ste 202

    Beverly, MA 019155514

    Phone: (978) 927-7727

    Type: Location

  • 22, Ward Avenue, Butler, Morris County, New Jersey, 07405, United States

    BUTLER, NJ 074051129

    Phone:

    Type: Mailing

  • 18, West Blackwell Street, Dover, Morris County, New Jersey, 07801, United States

    DOVER, NJ 078013841

    Phone: (973) 328-3344

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $204.

Total Amount is formed as General ($204) + Research ($0) + Ownership ($0) = $204.

Last reported payment date: 2024-10-22 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($76).

Total Amount

$204

General + Research + Ownership

Payments

13

Total payment records

General Amount

$204

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-22

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-03-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210315000032IPhysician AssistantNJTBD
I20260304001519IPhysician AssistantMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 01915)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5092954602View full group profile
NameSpecialtyState
Physician AssistantNJ
Physician AssistantNJ
Physician AssistantNJ
Physician AssistantPA
Physician AssistantNJ
Physician AssistantNJ
Physician AssistantCA
Physician AssistantNY
Physician AssistantNJ
Physician AssistantNJ

Reviews

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Frequently asked questions

How do I look up NICOLE HURTADO (PA-C) by NPI?
Use NPI 1396399747 when you need to reference NICOLE HURTADO (PA-C) in forms, claims, or directories.
Is NICOLE HURTADO (PA-C) currently active in the NPI registry?
CMS-published data lists NICOLE HURTADO (PA-C) as an active registrant.
What field does NICOLE HURTADO (PA-C) work in?
You can think of NICOLE HURTADO (PA-C) as practicing within Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for NICOLE HURTADO (PA-C)?
We surface Beverly, Massachusetts for NICOLE HURTADO (PA-C) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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