Nicole Hurtado, PA-C is a medicare enrolled "Family Medicine" in Dover, New Jersey. She graduated from nursing school in 2019 and has 7 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Beth Israel Lahey Health Primary Care, Inc, Am Pm Walk In Urgent Care Clinic, Zufall Health Center, Inc and her current practice location is
18 W Blackwell St, Dover, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(973) 328-3344.
Nicole Hurtado is licensed to practice in New Jersey (license number 25MP00535000) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1396399747.
Provider's Profile
| Full Name | Nicole Hurtado |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 7 Years |
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| Location | 18 W Blackwell St, Dover, New Jersey |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Nicole Hurtado graduated from nursing school in 2019
NPI Data:
- NPI Number: 1396399747
- Provider Enumeration Date: 07/24/2019
- Last Update Date: 04/13/2026
Medicare PECOS Information:
- PECOS PAC ID: 8628309291
- Enrollment ID: I20260304001519
Medical Identifiers
Medical identifiers for Nicole Hurtado such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1396399747 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | PA102306 (Massachusetts) | Secondary |
| 207Q00000X | Family Medicine | 25MP00535000 (New Jersey) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Beth Israel Lahey Health Primary Care, Inc | 7719291434 | 353 |
| Am Pm Walk In Urgent Care Clinic | 5092954602 | 68 |
| Zufall Health Center, Inc | 2365448461 | 37 |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole Hurtado is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Nicole Hurtado, PA-C
22 Ward Ave,
Butler, NJ 07405-1129
Ph: () - | Nicole Hurtado, PA-C
18 W Blackwell St,
Dover, NJ 07801-3841
Ph: (973) 328-3344 |
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