The closest incorporated areas to the Martin County portion of Hutchinson Island are the towns of Ocean Breeze and Sewall's Point.

The St. Lucie County portion of the island consists of three parts as follows: The southern part of the St. Lucie County portion comprises the Hutchinson Island South census-designated place, but that name is rarely used by residents, who receive their mail from Jensen Beach ZIP code 34957.

At the Fort Pierce Inlet, A1A turns west onto Seaway Drive for the short distance to the South Bridge and US 1.

State Road 732 reaches its eastern terminus at a traffic circle with A1A and the entrance to Jensen Sea Turtle Public Beach.

The only internal public road in the Martin County portion of Hutchinson Island is MacArthur Boulevard which runs south from A1A to the entrance to the Sailfish Point development that is approximately a mile north of the inlet.

In the St. Lucie County portion of the island, there are many platted public subdivision streets and roads in the area that is within the Fort Pierce city limits.