MISS JACQUELINE HURTADO MSN, RN, CPNP, CCRN
NPI 1174127765
Nurse Practitioner - Pediatrics, Critical Care in Miami, FL

Active since November 24, 2020PECOS Enrolled
1611 NW 12TH AVE, MIAMI, FL 33136(305) 585-5437 Get Directions Write a Review

NPPES record last updated: February 7, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 7, 2024, Jan 26, 2021, Nov 24, 2020 (3 updates tracked since 2020).

About Miss Jacqueline Hurtado Msn, Rn, Cpnp, Ccrn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS JACQUELINE HURTADO MSN, RN, CPNP, CCRN (NPI 1174127765) is an individual pediatrics, critical care provider in Miami, Florida, licensed in Florida (11027177) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Los Angeles.

NPPES Registry Identity

NPI1174127765
Entity TypeIndividualFemale
Primary Taxonomy363LP0222X
Provider Legal NameMISS JACQUELINE HURTADOCredential: MSN, RN, CPNP, CCRN
Location Address1611 NW 12TH AVEMiami, FL 33136-1005
Mailing Address805 N Olive Ave Apt 226West Palm Beach, FL 33401-3733 · (714) 765-9733
Sole ProprietorNo
Enumeration DateNovember 24, 2020
Last NPPES UpdateFebruary 7, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 7, 2024
✔ NPI 1174127765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Pediatrics, Critical CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0222X
Licenses✔ Licensed in FL · 11027177✔ Licensed in CA · 95013955
1611 NW 12TH AVE, Miami, FL 33136

Secondary Practice Location 1

Location 14650 W Sunset BlvdLos Angeles, CA 90027-6062 · Phone (323) 660-2450

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miss Jacqueline Hurtado Msn, Rn, Cpnp, Ccrn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jacqueline Hurtado reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

General Practice
1611 NW 12TH AVE
Miami, FL 33136
  • Reassigned Medicare billing, Florida enrollment
  • 570 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33136 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
1611 NW 12TH AVE
MIAMI, FL 33136
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1611 NW 12TH AVE, PHARMACY ADM. OFFICES/EAST TOWER BASEMENT 069
MIAMI, FL 33136
Student in an Organized Health Care Education/Training Program
1611 NW 12TH AVE
MIAMI, FL 33136
Pediatrics (Pediatric Cardiology)
1611 NW 12TH AVE
MIAMI, FL 33136
Nurse Practitioner (Adult Health)
1611 NW 12TH AVE
MIAMI, FL 33136
Anesthesiology
1611 NW 12TH AVE, CENTRAL 300
MIAMI, FL 33136
Pathology (Anatomic Pathology)
1611 NW 12TH AVE
MIAMI, FL 33136
Surgery
1611 NW 12TH AVE
MIAMI, FL 33136

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacqueline Hurtado's NPI number?

The NPI number for Jacqueline Hurtado is 1174127765. It was assigned to this individual provider in the NPPES registry on November 24, 2020.

Where is Jacqueline Hurtado located?

Jacqueline Hurtado practices at 1611 NW 12th Ave, Miami, FL 33136. The listed phone number is (305) 585-5437.

What is Jacqueline Hurtado's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, Critical Care, with taxonomy code 363LP0222X.

Is Jacqueline Hurtado enrolled in Medicare?

Yes. Jacqueline Hurtado is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jacqueline Hurtado's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Hurtado reassigns Medicare benefits to Public Health Trust Of Miami Dade County Florida (Miami, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacqueline Hurtado's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacqueline Hurtado accept?

Health plans from AmeriHealth Caritas Next, Cigna HealthCare of Florida, Inc. and Cigna Healthcare list Jacqueline Hurtado as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacqueline Hurtado was last updated on February 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.