NICOLE HURTADO PA-C
NPI 1396399747
Family Medicine in Dover, NJ

Q: What is Nicole Hurtado's NPI number?

The NPI number for Nicole Hurtado is 1396399747. It was assigned to this individual provider in the NPPES registry on July 24, 2019.

Q: What is Nicole Hurtado's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Hurtado was last updated on April 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.

Active since July 24, 2019PECOS Enrolled

18 W BLACKWELL ST, DOVER, NJ 07801(973) 328-3344 Get Directions Write a Review

NPPES record last updated: April 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 13, 2026, Jul 24, 2019 (2 updates tracked since 2019).

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About Nicole Hurtado Pa-c NPPES

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

NICOLE HURTADO PA-C (NPI 1396399747) is an individual family medicine provider in Dover, New Jersey, licensed in New Jersey (25MP00535000) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS, is affiliated with Northeast Hospital Corporation, and maintains a secondary practice location in Beverly.

NPPES Registry Identity

NPI1396399747

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameNICOLE HURTADOCredential: PA-C

Location Address18 W BLACKWELL STDover, NJ 07801-3841

Mailing Address22 Ward AveButler, NJ 07405-1129

Phone(973) 328-3344

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateJuly 24, 2019

Last NPPES UpdateApril 13, 20262 updates tracked since enumeration

NPPES CertifiedApril 13, 2026

✔ NPI 1396399747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NJ · 25MP00535000

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedPhysician AssistantTaxonomy 363A00000X · License PA102306 (MA)

18 W BLACKWELL ST, Dover, NJ 07801

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Secondary Practice Location 1

Location 130 Tozer Rd Ste 202Beverly, MA 01915-5514 · Phone (978) 927-7727

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Hurtado Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8628309291

PECOS Enrollment IDI20210315000032, I20260304001519

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northeast Hospital Corporation

Acute Care Hospitals · Beverly, MA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220033

Location85 Herrick StreetBeverly, MA 01915 · Essex County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07801 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

$98.09 typical visit price

range $63.84 – $190.92

Typical copayment $24.52 (range $15.96 – $47.73)

Most-billed visit code 99203

Established Patient

$111.57 typical visit price

range $20.97 – $155.92

Typical copayment $27.89 (range $5.24 – $38.98)

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.

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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.

VANESSA DIAZ LSW

Social Worker (Clinical)