Jesse Javier Chun Palacios, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

APRN-4310-0 Issued in HI

Practice address

1360 S Beretania St Ste 500
Honolulu, HI 96814-1520

Phone

(808) 210-4444

NPI assigned

Jan 24, 2024

Last updated

Jan 24, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MP

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Commonwealth Healthcare CorporationGroup PAC ID 7719075167, 79 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Commonwealth Health Center Hospital, Garapan, MP, CCN 660001

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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

• Commonwealth Healthcare Corporation

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Saipan, MP
  • NPI 1285858290
  Medicare reassignment Care Compare group NPD
• Heal Diabetes Inc

  dba Metabolic Care Center

  • Endocrinology, Diabetes & Metabolism Physician
  • Honolulu, HI
  • NPI 1316628738
  NPD
• Insulinic Hawaii

  dba Insulinic

  • Internal Medicine Physician
  • Honolulu, HI
  • NPI 1669102612
  NPD
• Commonwealth Healthcare Corporation

  dba Tinian Health Center

  • Rural Health Clinic/Center
  • Tinian, MP
  • NPI 1003382854
  NPD
• Commonwealth Healthcare Corporation

  • General Acute Care Hospital
  • Saipan, MP
  • NPI 1871616292
  NPD

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

• Commonwealth Healthcare Corporation

  • General Acute Care Hospital
  • Saipan, MP
  • NPI 1871616292
  Care Compare affiliation

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

{
    "created_epoch": "1706054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1104688415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 KALAKAUA AVE APT 2107",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968263743",
            "telephone_number": "253-306-0522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 S BERETANIA ST STE 500",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141520",
            "telephone_number": "808-210-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALACIOS",
        "first_name": "JESSE JAVIER",
        "middle_name": "CHUN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-24",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "HI",
            "license": "APRN-4310-0",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "HI",
            "license": "APRN-4310-0",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "HI",
            "license": "APRN-4310-0",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer MMK Pak, FNP-C
• Jonathan Pak
• Louise Pak
• Grace Maile Pakele, RN
• Annelise Palacios
• Jonathan David Paladino, M.D, PH.D
• Melvin P. Palalay, M.D.
• Amudha Palanisamy, M.D.
• Arun Nallagounder Palaniswami, M.D.
• Michael Joseph Palazzo, PHD, APRN

• Adult Health Nurse Practitioner in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Adult Health Nurse Practitioner in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.