Individual provider Active NPI

Meagan Guise, AGNP

  • Gerontology Nurse Practitioner
  • Kailua, HI
National Provider Identifier
1104403112
Registry record updated May 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
4727 Issued in HI
Practice address
1353 Kuloaa PL
Kailua, HI 96734-3655
Phone
(803) 381-2212
NPI assigned
Mar 25, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 4727 HI Primary

Addresses

Primary practice location

1353 Kuloaa PL
Kailua, HI 96734-3655

Mailing address

1353 Kuloaa PL
Kailua, HI 96734-3655
Phone (803) 381-2212

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250728001901 HI Practitioner - Nurse Practitioner 0749698124 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Massachusetts Medical School, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1353 Kuloaa PL
Kailua, HI 96734-3655
Phone (808) 846-6649

Hospital & facility affiliations

  • Bayada Home Health Care Home health agency, Honolulu, HI, CCN 127310

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4727HIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Collection Gerontology CurrentSince Nov 1, 2025 Accepting new patients
Oak Street Health Physicians Group of Tennessee, PLLC PastSince Jul 17, 2022 Accepting new patients
Ihms Healthcare Incorporated PastSince Mar 1, 2024 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1616630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779494400000",
    "number": "1104403112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1353 KULOAA PL",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967343655",
            "telephone_number": "803-381-2212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1353 KULOAA PL",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967343655",
            "telephone_number": "803-381-2212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUISE",
        "first_name": "MEAGAN",
        "credential": "AGNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-25",
        "last_updated": "2026-05-23",
        "certification_date": "2026-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "HI",
            "license": "4727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua, HI

Sources for this page

Verify at the official NPI Registry.